腔镜辅助下微创经皮膀胱穿刺造瘘术的临床应用  

Clinical Application of Minimally Invasive Percutaneous Paracentetic Cystostomy Assisted by Endoscopy

作　　者：康厚彬 何秉勋 朱智虎 薛彬[1] 艾航宇 袁毅[1] 毕磊[1] 廖志[1] 

机构地区：[1]四川省凉山州第二人民医院外一科,四川西昌615000

出　　处：《临床医学工程》2012年第6期865-866,共2页Clinical Medicine & Engineering

摘　　要：目的探讨膀胱镜、电切镜、输尿管镜辅助直视下经皮膀胱穿刺造瘘术的临床应用疗效和安全性。方法对我院80例从2007年10月到2011年12月采用膀胱镜或电切镜、输尿管镜辅助直视下行经皮膀胱穿刺造瘘术患者的临床资料进行回顾性分析。结果 80例患者均穿刺造瘘成功,手术时间平均25min,估计术中失血量约3mL,术后均无明显手术并发症。结论腔镜辅助下微创经皮膀胱穿刺造瘘术具有安全性高、操作简单、创伤小、微出血、并发症少、疗效满意等优点,具有较高的临床应用价值。Objective To evaluate the clinical efficacy and safety of percutaneous paracentetic cystostomy assisted by cystoscopy, resectoscopy and ureteroscopy. Methods The clinical data of 80 patients with cystoscopy or resectoscopy, ureteroscopy assisted percutaneous paracentetic cystostomy in our hospital from October 2007 to December 2011 were analyzed retrospectively. Results 80 cases were successful in percutaneous nephrostomy with the average operation time of 25 min, approximate operative bleeding of 3 mL. No obvious complications were found after the operation. Conclusions Minimally invasive percutaneous paracentetic cystostomy assisted by endoscopy has the advantages of high security, simple operation, small trauma, micro bleeding, fewer complications, and satisfactory curative effect, which is worthy of clinical application.

关 键 词：腔镜辅助 微创 经皮膀胱造瘘术 

分 类 号：R694[医药卫生—泌尿科学]