气管镜在膀胱肿瘤术前诊断中的应用

摘要

目的：探讨气管镜在膀胱肿瘤患者术前诊断中的应用，探讨其可行性及临床意义。方法收集我院初步诊断为膀胱肿瘤的40例患者。将其随机分为气管镜组和膀胱镜组，比较两组患者疼痛视觉评分、操作时间、出血发生率的差异。结果顺利完成气管镜及膀胱镜操作，气管镜操作时间5～10 min，平均（6．6±1．3）min，长于膀胱镜检查时间（5．2±1．1）min，t值为2．71。差异具有统计学意义（P＜0．01）；但气管镜VAS评分为（1．6±0．4）分，低于膀胱镜检查的（4．2±1．2）分，差异具有统计学意义（P＜0．01）。出血发生率为10％，低于膀胱镜检查发生率（30％）。结论气管软镜由于能明显减轻患者疼痛，减少尿道出血及尿潴留风险，能够替代软性膀胱镜用于膀胱肿瘤的术前诊断，值得临床推广。%Objective To discuss the application of the bronchoscope in the preoperative diagnosis of bladder tumor, and to explore the feasibilityandclinicalsignificance.Methods 40patientswhowerediagnosedwithbladdertumorwerecollected.Patientswererandomly divided into bronchoscope group and cystoscopy group.Differences of visual grade of pain scale, operation time, and occurrence of bleeding were compared.Results The operation of bronchoscope and cystoscope were successfully completed.The operation time of bronchoscope were 5~10 min, with (6.6 ±1.3) min as the mean time, which was longer than cystoscope examination time (5.2 ±1.1)min, t=2.71 (P<0.01);Bronchoscopic VAS score was (1.6 ±0.4)min,which were lower than cystoscopy VAS score(4.2 ±1.2)min (P<0.01). The difference was statistically significant.The incidence of bleeding was 10%, which was lower than of cytoscopy (30%).Conclusion Bronchoscope can relieve pain of patients obviously, and reduce urethrorrhagia and urinal retention.Bronchoscope can replace flexible cys-toscopy to diagnose bladder tumor.So it is worthy of clinical promotion.