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目的:报告3例经皮气膀胱内镜手术的方法技巧及疗效,分析手术的安全性、可行性及优势。方法:回顾性分析3例经皮气膀胱内镜手术患者的临床资料:1例单侧输尿管末端狭窄者行气膀胱内镜输尿管膀胱再植术,1例膀胱黏膜下肿瘤者行气膀胱内镜肿瘤切除术,1例前列腺癌术后膀胱颈部复发者行气膀胱内镜肿瘤切除术,并观察手术时间、术中出血量、术后住院天数、并发症及手术疗效。结果:3例手术均获得成功,手术时间分别为150mim、210min、40min;术中失血量分别为50ml、30ml、5ml;术后住院天数为9d、7d、6d;术后拔除尿管时间为9d、14d、14d。3例手术均无围术期并发症。术后随访输尿管再植无狭窄,2例肿瘤均无复发。结论:经皮气膀胱内镜手术作为一种治疗输尿管末端、膀胱及前列腺疾病的术式,具有微创、安全、有效的特点,值得临床推广使用。
OBJECTIVE: To report the technique and efficacy of 3 cases of percutaneous endoscopic gastroscopic surgery and analyze the safety, feasibility and advantages of the operation. Methods: A retrospective analysis of 3 cases of percutaneous endoscopic gastroscopic surgery in patients with clinical data: 1 case of unilateral ureteral endoscopic sphincterotomy bladder vesiculated replantation, 1 case of bladder submucosal tumor undergone cystoscope Tumor resection and 1 case of bladder neck recurrence after prostate cancer were treated by gas cystoscopic resection. The operation time, intraoperative blood loss, postoperative hospital days, complications and operative efficacy were observed. Results: The operation of three cases were successful. The operation time was 150mim, 210min and 40min respectively. The intraoperative blood loss was 50ml, 30ml and 5ml respectively. The postoperative hospital days were 9d, 7d and 6d. , 14d, 14d. There were no perioperative complications in 3 cases. All patients underwent ureteral replantation without stenosis and no recurrence was found in 2 cases. Conclusion: Percutaneous balloon endoscopic surgery as a surgical treatment of ureter, bladder and prostate diseases has the characteristics of minimally invasive, safe and effective, and is worthy of clinical promotion.