肿胀技术在女性尿道肉阜手术中的应用效果
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摘要
目的观察肿胀技术在女性尿道肉阜手术中的应用效果。方法将47例女性尿道肉阜患者随机分为观察组24例与对照组23例。观察组患者采用肿胀技术联合尿道肉阜切除术治疗,对照组患者采用常规尿道肉阜切除术治疗。比较两组患者手术时间、术中出血量、术后住院时间、术后并发症及复发情况。结果观察组术中出血量及手术时间均少于对照组(均P <0. 05),但两组术后住院时间比较,差异无统计学意义(P> 0. 05)。术后随访3～24个月,观察组发生术后疼痛1例(4. 17%),复发0例,对照组发生术后疼痛2例(8. 70%),复发1例(4. 35%),两组术后疼痛发生率及复发率差异均无统计学意义(均P> 0. 05)。结论在女性尿道肉阜切除手术中采用肿胀技术,可减少手术时间及术中出血,安全性高。
Objective To observe the effect of tumescent technique applied to urethral caruncle surgery in females. Methods Forty-seven female patients with urethral caruncle were randomly divided into observation group( 24 cases) and control group( 23 cases).The patients in the observation group were treated by tumescent technique combined with urethral caruncle resection,while the patients in the control group were treated by routine urethral caruncle resection. The operation duration,intraoperative blood loss,postoperative hospital stay,and postoperative complications and recurrence were compared between the two groups. Results The intraoperative blood loss and operation duration in the observation group were less than those in the control group( all P < 0. 05),however,there was no statistically significant difference in the postoperative hospital stay between the two groups( P > 0. 05). The patients were followed up for 3 to 24 months after operation,there was 1 case( 4. 17%) of postoperative pain and no recurrence occurred in the observation group,while in the control group,there were 2 cases( 8. 70%) of postoperative pain and 1 recurrent case( 4. 35%),and no statistically significant difference was found in the incidence rate of postoperative pain or recurrence rate between the two groups( all P > 0. 05). Conclusion Tumescent technique applied to female urethral caruncle resection can reduce operation duration and intraoperative blood loss,with a high safety.
Objective To observe the effect of tumescent technique applied to urethral caruncle surgery in females. Methods Forty-seven female patients with urethral caruncle were randomly divided into observation group( 24 cases) and control group( 23 cases).The patients in the observation group were treated by tumescent technique combined with urethral caruncle resection,while the patients in the control group were treated by routine urethral caruncle resection. The operation duration,intraoperative blood loss,postoperative hospital stay,and postoperative complications and recurrence were compared between the two groups. Results The intraoperative blood loss and operation duration in the observation group were less than those in the control group( all P < 0. 05),however,there was no statistically significant difference in the postoperative hospital stay between the two groups( P > 0. 05). The patients were followed up for 3 to 24 months after operation,there was 1 case( 4. 17%) of postoperative pain and no recurrence occurred in the observation group,while in the control group,there were 2 cases( 8. 70%) of postoperative pain and 1 recurrent case( 4. 35%),and no statistically significant difference was found in the incidence rate of postoperative pain or recurrence rate between the two groups( all P > 0. 05). Conclusion Tumescent technique applied to female urethral caruncle resection can reduce operation duration and intraoperative blood loss,with a high safety.
引文
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[8]刘世呈,吴淼,肖卫东,等.肿胀麻醉技术在腹股沟疝腹膜前间隙修补术中应用的回顾性分析[J].第三军医大学学报,2017,39(21):2110-2114.
[9]伍建军.肿胀麻醉技术在Ⅲ°烧伤切痂手术中的临床观察[J].中国现代手术学杂志,2016(3):228-230.
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[11] Smith AL,Wein AJ. Estrogen replacement therapy for the treatment of postmenopausal genitourinary tract dysfunction[J]. Discov Med,2010,10(55):500-510.
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[13]阮建中,祝海波,杨锐利.复方已烯雌酚霜剂治疗尿道肉阜[J].临床泌尿外科杂志,2001,16(5):226-227.
[14]周帆,邱国光,姬西宁,等.改良电刀头电切治疗尿道肉阜34例[J].中国微创外科杂志,2007,7(3):264.
[15]刘雍,王军,赵永伟,等.经人工尿道电切术治疗女性尿道肉阜临床疗效观察[J].临床泌尿外科杂志,2015(12):1137-1138.
[16]王宇,朱蜀侠,袁丹,等.钬激光治疗尿道肉阜158例临床分析[J].四川医学,2010,31(3):325-326.
[17]王淑华,吕中卿. CO2激光治疗尿道肉阜985例临床资料分析[J].激光杂志,2014,35(7):126-127.
[18]柳浩,罗光恒,孙兆林.无管化2μm激光治疗尿道肉阜20例临床疗效分析[J].现代泌尿外科杂志,2014,19(7):436-437,466.
[19]范黎,顾宝清,汪令胜,等.冷冻治疗尿道肉阜132例报告[J].中华泌尿外科杂志,1996(8):464.
[20]周青春,罗志刚.经尿道等离子双极电切术联合环切治疗复杂尿道肉阜[J].中外健康文摘,2014(7):109-110.
[21]殷常康. 106例女性尿道外口疾病的临床特点及诊治分析[J].医学临床研究,2013,30(4):769-770,773.
[22]刘福川.尿道肉阜的临床病理分析[J].中国医师进修杂志,2013,36(11):69-70.
[23]刘锡海,莫劲军,刘肇华,等.尿道肉阜环切联合尿道-阴道间距延长术治疗尿道肉阜的效果观察[J].广东医学院学报,2013,31(5):555-556.
[2]徐世田,冯德刚.大功率微波治疗尿道肉阜41例报告[J].检验医学与临床,2012(19):2 495-2 496.
[3] Klein JA. The tumescent technique for lipo-suction surgery[J]. Am J Cosm Surg,1987,4(4):263-267.
[4]陈华庆,张水福,陈建宏.肿胀技术在体表外科的应用[J].现代中西医结合杂志,2010,19(6):717-718.
[5] Kaneko G,Nishimoto K,Ogata K,et al. A case of intraepithelial squamous cell carcinoma arising from urethral caruncle[J]. Can Urol Assoc J,2011,5(1):E14-E16.
[6]蔡景龙,朱桂英,董红,等.肿胀局麻多部位脂肪抽吸术的临床应用[J].山东大学学报(医学版),2007,45(2):203-206.
[7]刘建云,刘军,刘怡君.肿胀技术在小儿大面积烧伤手术中的应用[J].黑龙江医药科学,2017,40(4):90-92.
[8]刘世呈,吴淼,肖卫东,等.肿胀麻醉技术在腹股沟疝腹膜前间隙修补术中应用的回顾性分析[J].第三军医大学学报,2017,39(21):2110-2114.
[9]伍建军.肿胀麻醉技术在Ⅲ°烧伤切痂手术中的临床观察[J].中国现代手术学杂志,2016(3):228-230.
[10] Salim S,Taylor A,Carter C. Female paraphimosis? Management of a large female urethral caruncle,trialling manual reduction[J]. J Obstet Gynaecol,2014,34(3):282-283.
[11] Smith AL,Wein AJ. Estrogen replacement therapy for the treatment of postmenopausal genitourinary tract dysfunction[J]. Discov Med,2010,10(55):500-510.
[12] Conces MR,Williamson SR,Montironi R,et al. Urethral caruncle:clinicopathologic features of 41 cases[J]. Hum Pathol,2012,43(9):1 400-1 404.
[13]阮建中,祝海波,杨锐利.复方已烯雌酚霜剂治疗尿道肉阜[J].临床泌尿外科杂志,2001,16(5):226-227.
[14]周帆,邱国光,姬西宁,等.改良电刀头电切治疗尿道肉阜34例[J].中国微创外科杂志,2007,7(3):264.
[15]刘雍,王军,赵永伟,等.经人工尿道电切术治疗女性尿道肉阜临床疗效观察[J].临床泌尿外科杂志,2015(12):1137-1138.
[16]王宇,朱蜀侠,袁丹,等.钬激光治疗尿道肉阜158例临床分析[J].四川医学,2010,31(3):325-326.
[17]王淑华,吕中卿. CO2激光治疗尿道肉阜985例临床资料分析[J].激光杂志,2014,35(7):126-127.
[18]柳浩,罗光恒,孙兆林.无管化2μm激光治疗尿道肉阜20例临床疗效分析[J].现代泌尿外科杂志,2014,19(7):436-437,466.
[19]范黎,顾宝清,汪令胜,等.冷冻治疗尿道肉阜132例报告[J].中华泌尿外科杂志,1996(8):464.
[20]周青春,罗志刚.经尿道等离子双极电切术联合环切治疗复杂尿道肉阜[J].中外健康文摘,2014(7):109-110.
[21]殷常康. 106例女性尿道外口疾病的临床特点及诊治分析[J].医学临床研究,2013,30(4):769-770,773.
[22]刘福川.尿道肉阜的临床病理分析[J].中国医师进修杂志,2013,36(11):69-70.
[23]刘锡海,莫劲军,刘肇华,等.尿道肉阜环切联合尿道-阴道间距延长术治疗尿道肉阜的效果观察[J].广东医学院学报,2013,31(5):555-556.