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新型膀胱软镜鞘辅助膀胱软镜检查在血尿诊断中的初步应用
曹智,张振声,许传亮,潘安印,韦荣超,彭松,孙颖浩*
0
(第二军医大学长海医院泌尿外科,上海 200433
共同第一作者
*通信作者)
摘要:
目的 探讨血尿状态下新型膀胱软镜鞘对膀胱软镜视野清晰度的改善程度及患者耐受性。方法 选取因血尿在我院行膀胱软镜检查的男性患者32例,随机分为A、B两组,每组16例。A组患者接受新型膀胱软镜鞘辅助膀胱软镜检查,B组患者接受传统膀胱软镜检查;记录膀胱软镜视野清晰度评分及患者疼痛视觉模拟评分。结果 两组患者均顺利完成膀胱软镜检查。A组患者操作时间短于B组患者\[(7.50±1.59) min vs (9.81±2.56) min,P<0.05\];A组膀胱软镜视野清晰度优于B组,评分分别为(2.75±0.45)分 和(1.56±0.63)分,差异有统计学意义(P<0.05);两组患者疼痛视觉模拟评分差异无统计学意义\[(2.00±0.89)分 vs (1.93±1.12)分\]。结论 新型膀胱软镜鞘可安全有效地改善血尿状态下膀胱软镜视野清晰度。
关键词:  血尿  膀胱镜检查  膀胱软镜鞘  冲洗
DOI:10.3724/SP.J.1008.2013.00315
投稿时间:2012-10-30修订日期:2012-12-24
基金项目:
A novel continuous irrigation sheath for flexible cystoscope for diagnosis under hematuria
CAO Zhi,ZHANG Zhen-sheng,XU Chuan-liang,PAN An-yin,WEI Rong-chao,PENG Song,SUN Ying-hao*
(Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author.)
Abstract:
Objective To evaluate the efficacy and safety of a novel continuous irrigation sheath for flexible cystoscope in improving the vision and patient compliance of flexible cystoscopy under hematuria. Methods A total of 32 male patients, who received flexible cystoscopy for hematuria in our hospital, were evenly randomized into two groups. Patients in group A received flexible cystoscopy with the help of the novel continuous irrigation sheath; while patients in group B received traditional flexible cystoscopy. The vision score of flexible cystoscopy and visual analog pain score were recorded in the two groups. Results The flexible cystoscopy was smoothly conducted in the two groups. The operation time in group A was significantly shorter than that in group B (\[7.50±1.59\] min vs \[9.81±2.56\] min, P<0.05);the vision score of flexible cystoscopy in group A was significantly better than that in group B (\[2.75±0.45\] vs \[1.56±0.63\], P<0.05).And there was no significant difference in visual analog pain score between the two groups (\[2.00±0.89\] vs \[1.93±1.12\], P>0.05). Conclusion The novel continuous irrigation sheath can effectively improve the vision of flexible cystoscopy without increasing discomfort to patients.
Key words:  hematuria  cystoscopy  sheath for flexible cystoscope  irrigation