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目的:观察分析经尿道2μm激光膀胱部分切除术后是否存在膀胱内液体外渗。方法:2008年10月~2013年10月,选取35例接受经尿道2μm激光膀胱部分切除术进行治疗的膀胱癌患者,术后给予患者经直肠(阴道)超声检查,了解是否存在膀胱内液体外渗。结果:所有患者在骶管麻醉下均可耐受经尿道2μm激光膀胱部分切除术。术后通过经直肠(阴道)超声检查发现2例患者直肠陷窝存在低回声影,确诊为腹膜穿孔1例,盆腔尿外渗1例,均给予手术引流治疗,其余患者能有效的保持膀胱壁的连续性。结论:通过术后经直肠(阴道)超声检查证实:经尿道2μm激光膀胱部分切除术治疗膀胱肿瘤,可以有效保持膀胱壁的连续性,操作精细,不易出现膀胱穿孔现象。
OBJECTIVE: To observe the transvaginal fluid extravasation after transurethral 2μm laser partial resection of bladder. Methods: From October 2008 to October 2013, 35 bladder cancer patients undergoing transurethral resection of the bladder with 2μm laser were selected. Patients underwent transrectal (vaginal) ultrasonography postoperatively to find out whether there was fluid outside the bladder Infiltration. Results: All patients underwent 2mm laser transurethral resection of the bladder under urethral anesthesia. Postoperative transrectal (vaginal) ultrasound examination revealed two cases of low echo echo in the lacunar rectum, diagnosed as peritoneal perforation in 1 case, pelvic exudation in 1 case, were given surgical drainage treatment, the remaining patients can effectively maintain the bladder wall Continuity. Conclusion: Transrectal (vaginal) ultrasonography showed that transurethral resection of the bladder with 2μm laser was effective in maintaining the continuity of the bladder wall. The operation was fine and the bladder perforation was not easy to occur.