目的 观察等离子电灼联合膀胱灌注透明质酸钠对放射性膀胱炎患者进行治疗的临床效果.方法 17例放射性膀胱炎患者,根据治疗方法不同分为对照组(8例)和研讨组(9例).两组均采用膀胱灌注透明质酸钠进行治疗,研讨组联合等离子电灼术进行治疗,对两组患者的临床效果及不良反应发生情况进行观察比较.结果 研讨组患者的总有效率100.00％明显高于对照组的62.50％,差异具有统计学意义(P<0.05).研讨组患者的不良反应发生率22.22％低于对照组的75.00％,差异具有统计学意义(P<0.05).结论 在放射性膀胱炎患者治疗中应用等离子电灼联合膀胱灌注透明质酸钠进行治疗的效果显著,临床效果较高且出现不良反应的情况较少,具有较高的临床应用价值.

Objective To compare the effectiveness and operative time between inguinal and subinguinal surgical approaches of microscopic varicocelectomy for painful varicocele.Methods Sixty-eight patients with painful varicocele in the Third Affiliated Hospital of Sun Yat-sen University,between July 2011 and June 2013 were divided into 2 groups of inguinal and subinguinal microscopic varicocelectomy.Operative time was recorded.Painful release rate,postoperative uncomfortable rate,relapse rate and complications were followed up.Results The operative time of inguinal and subinguinal microscopic varicocelectomy were (31 ±6) min vs (36±8) min,(P＜0.05).There was no sinificant difference of painful release rate(94.1％ vs 97.1％,P=1.000),postoperative uncomfortable rate (14.7％ vs 5.9％,P=0.427),relapse rate(5.9％ vs 2.9％,P=1.000),scrotal edema (0％ vs 2.9％,P=1.000) and testicular atrothy(0％ vs 0％,P=1.000) between the 2 groups.Conclusion Inguinal and subinguinal microscopic varicocelectomy are both effective for painful varicocele treatment,and the time-consuming of coinguinal approach seems shorter.

目的 观察托特罗定治疗经尿道前列腺电切术后膀胱过度活动症(OAB)的疗效和不良反应.方法 对35例OAB患者口服托特罗定片,2mg/次,2次/d,治疗前后分别行OAB症状评分(OABSS),观察患者日间排尿次数、夜尿次数、平均24h尿急次数、平均尿失禁次数的变化和不良反应情况.结果 治愈22例( 62.9％),显效10例(28.6％),无效3例(8.5％).用药后日间排尿次数、夜尿次数、平均24h尿急次数、平均尿失禁次数及OABSS总评分较用药前均明显减少,用药前后比较差异有统计学意义.发生不良反应 2例(5.7％).结论 托特罗定能有效减轻OAB患者尿急、尿频、夜尿、尿失禁等症状,疗效确切,安全有效.

Objectives To evaluate the effect of ketamine-associated cystitis treated with intravesical instillation of sodium hyaluronate.Methods From July 2010 to December 2012,a total of 30 patients who suffered from ketamine-associated cystitis were recruited into the study.Analyzed the clinical symptoms and laboratory results,withdrawal the ketamine abuse and treated with intravesical instillation of sodium hyaluronate for 8 weeks.Results After the treatments,21 cases(70%) totally got rid of the lower urinary tract symptoms,6 cases(20%) were partially relieved and 3 cases had no effect.Conclusions For the treatment of ketamine-associated cystitis,withdrawal the ketamine abuse and treated with intravesical instillation of sodium hyaluronate could have a good effect.

Objective To observe the clinical efficacy of tamsulosin with Paishi Keli in treating patients with lower ureteral calculus.Methods 100 patients with lower ureteral calculus were randomly divided into two groups,each group of 50 cases.The control group received Paishi Keli 1 pack/time,3 times/day;The treatment group received Paishi Keli and tamsulosin 0.4mg/time,once a day.The lithagogue rate,stone expulsion time and usage of pain-killer were observed in two groups.Results The lithagogue rate in control group and treatment group were 42% and 80% respectively,and there was significant difference between the two groups(P0.05).The average expulsion time of treatment group and control group were(6.6±1.5)days and(9.9±1.8)days respectively,there was significant difference between the two groups(P0.05).There were 2 cases and 10 cases in treatment group and control group respectively need to be used pain-killer.Conclusion Tamsulosin combined with Paishi Keli can increase the lithagogue rate,short the expulsion time and reduce the pain-killer usage.

Objective:To evaluate short-term efficacy of retroperitoneal laparoscopic nephron sparing surgery(L-NSS) for patients with early stage renal cell carcinoma.Method:From May 2008 to December 2012,26 cases with early renal cell carcinoma were underwent L-NSS in our hospital.Clinicopathological data,surgical information and oncological results were recorded and analyzed.Result:All 26 L-NSS were successfully performed.The mean operative time, warm-ischemia time,bleeding,and in-patient day were 120 min(95-250 min),22 min(17-32 min),60 ml(30-230 ml) and 10 days (7-21 days),respectively. None severe complication was occurred during operation.Four delayed hemorrhages and 2 urinal fistulas were observed after surgery.Six,eight and twelve patients had Low,intermediate and high differentiated tumors.After 8-60 months’ follow-up,all patients were alive.And only one local recurrent disease and 1 atrophy were found in this group of patients.Conclusion:For the favorable surgical efficacy and oncological results achieved in this study,L-NSS can be selected as the first choice for patients with early stage renal cell carcinoma.