膀胱软镜在泌尿系疾病中应用进展

Progress in application of flexible cystoscopy in urinary diseases

膀胱软镜具有细小、柔软、弯曲的镜体和广角清晰的图像,在泌尿系疾病的治疗中具有很大的前景。通过对膀胱软镜的结构和功能的阐述,展现了膀胱软镜相比膀胱硬镜的优势,在泌尿系结石的治疗中体现了膀胱软镜能够辅助完成取石手术,并取得良好的清石率。在早期膀胱肿瘤的诊断与治疗中,结合窄带和荧光成像技术,提高了早期膀胱肿瘤的检出率和降低了术后的复发率。在男性尿道狭窄或断裂情况下,膀胱软镜的检查和治疗具有独特的优势,辅助腹膜外腹腔镜下肌层膀胱癌的部分切除具有重大的临床价值。阐述了膀胱软镜在临床上应用的优势,也提出了相关的不足,展望了膀胱软镜的相关日间手术模式会走向成熟的阶段。

The flexible cystoscopy has a small,soft,curved mirror and a wide-angle image,which has great prospects in the treatment of urinary diseases.Through the description of the structure and function of flexible cystoscopy,the advantages of the flexible cystoscopy compared to the cystoscope are demonstrated.In the treatment of urinary calculi,the flexible cystoscopy can assist the stone removal operation and achieve a good rate of stone clearance.In the diagnosis and treatment of early bladder tumors,combined with narrow-band and fluorescence imaging techniques,the detection rate of early bladder tumors is improved and the postoperative recurrence rate is reduced.In the case of male urethral stricture or fracture,the examination and treatment of flexible cystoscopy has unique advantages.Partial resection of assisted extraperitoneal laparoscopic myometrial bladder cancer has significant clinical value.The advantages of flexible cystoscopy in clinical application are expounded,and related deficiencies are also proposed.It is expected that the related day surgery mode of flexible cystoscopy will reach maturity.