[1]余强国,甘艺平,宋小松,等.腺性膀胱炎电切术后创面愈合不良原因分析:附4例报告[J].中华腔镜泌尿外科杂志(电子版),2012,(03):232-235.
 YU Qiang-guo,GAN Yi-ping,SONG Xiao-song,et al.Risk factors Of poor wound healing following transnrethral electroresection in cystitis glandularis:Report of four cases[J].,2012,(03):232-235.
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腺性膀胱炎电切术后创面愈合不良原因分析:附4例报告()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2012年03期
页码:
232-235
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Risk factors Of poor wound healing following transnrethral electroresection in cystitis glandularis:Report of four cases
作者:
余强国甘艺平宋小松范召应肖玮琳
广州医学院附属广佛医院,佛山市南海第二人民医院泌尿外科,广东佛山,528251
Author(s):
YU Qiang-guoGAN Yi-pingSONG Xiao-songFAN Zhao-yingXIAO Wei-lin
关键词:
腺性膀胱炎膀胱黏膜电切术创面愈合不良
摘要:
目的 探讨腺性膀胱炎电切术后创面愈合不良的原因.方法 2006年7月至2011年6月,腺性膀胱炎行膀胱黏膜电切术患者87例,术后创面愈合不良4例(4.6%),均为女性.对患者病史、治疗及随访情况进行回顾性分析.结果 4例随访11~58个月,平均28个月.1例有盆腔放疗和糖尿病病史,术后电切创面钙化斑形成,反复出现尿路感染,5年后因出现双侧上尿路积水、膀胱容量变小,行膀胱旷置、双侧输尿管皮肤造口术;1例有糖尿病和急性造血功能停滞病史,术后创面愈合不良,反复出血,经雄激素联合糖皮质激素治疗、造血功能改善后创面疤痕愈合;1例出现创面钙化斑,随访观察,16个月后钙化斑明显减少;1例术后1个月经期前膀胱灌注后出现创缘出血并尿潴留,经电凝止血后5个月创面愈合.随访无一例发生恶变.结论 腺性膀胱炎黏膜电切术后创面愈合不良原因不明,盆腔放疗、糖尿病、造血功能异常、丝裂霉素C个体特异反应等可能是相关危险因素.对伴有上述危险因素的腺性膀胱炎患者,选择膀胱黏膜电切术及膀胱灌注化疗时应慎重.

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更新日期/Last Update: 1900-01-01