河北医科大学学报

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人工黏膜下水肿在经尿道膀胱肿瘤电切术中的应用#br#

  

  1. 1.河北医科大学第二医院泌尿外科,河北 石家庄 050000;2.河北省迁安市人民医院泌尿外科,河北 迁安 064400;
    3.河北省临西县人民医院泌尿外科,河北 临西 054900
  • 出版日期:2019-08-25 发布日期:2019-08-14
  • 作者简介:汪鑫(1984-),男,河北唐县人,河北医科大学第二医院主治医师,医学硕士,从事泌尿外科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题(20180368)

Application of the artificial submucosal edema in transurethral resection of bladder tumors#br#

  1. 1.Department of Urology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China; 2.Department of Urology, Qian′an People′s Hospital, Hebei Province, Qian′an 064400, China;
    3.Department of Urology, Linxi County People′s Hospital, Hebei Province, Linxi 054900, China
  • Online:2019-08-25 Published:2019-08-14

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨人工黏膜下注射形成局部水肿技术在经尿道膀胱肿瘤电切术中的临床应用价值。
〖HTH〗方法〖HTSS〗〖KG*2〗选取膀胱肿瘤患者23例,于肿瘤基底膀胱黏膜人工注射2%盐酸利多卡因稀释液形成黏膜下水肿,行经尿道膀胱肿瘤电切术,记录患者手术时间、手术出血量、切面平整程度、有无膀胱穿孔、闭孔神经反射出现情况及术后病理情况。
〖HTH〗结果〖HTSS〗〖KG*2〗患者均顺利完成手术,平均手术时间(38.8±15.6) min,平均出血量(5.4±4.3) mL,切缘光滑呈类圆形创面,闭孔神经反射发生率为8.7%(2/23),无膀胱穿孔和肿瘤基底阳性发生。
〖HTH〗结论〖HTSS〗〖KG*2〗人工黏膜下水肿技术在经尿道膀胱肿瘤电切术中安全有效,且能有效减少闭孔神经反射及避免膀胱穿孔的发生。

关键词: 膀胱肿瘤, 人工黏膜下水肿, 经尿道膀胱肿瘤电切术

Abstract: [Abstract]〓Objective〖HTSS〗〓To explore the clinical value of artificial submucosal injection to form local edema in transurethral resection of bladder tumors.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Twentythree eligible patients with bladder cancer were selected. Submucosal edema was induced by artificial injection of 2% lidocaine hydrochloride diluent into the bladder mucosa of the tumor basement,and then do the operationtransurethral resection of bladder tumors to record the operation time, amount of bleeding, smoothness of the section, bladder perforation, obturator nerve reflex and pathological.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓All the patients successfully have completed the operation, the average operation time was (38.8±15.6) min,the average bleeding volume was (5.4±4.3) mL, the incision margin was smooth and round like, and the occurrence rate of obturator nerve reflex was 8.7%(2/23), the occurrence rate of bladder perforation was 0(0/23), and the positive rate of tumor basement was 0(0/23).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The artificial submucosal edema is safe and effective in transurethral bladder tumor enucleation, and can effectively reduce obturator nerve reflex and avoid bladder perforation.

Key words: urinary bladder neoplasms, artificial submucosal edema, transurethral resection of bladder tumors