Denholm S W, Conn I G, Newsam J E, Chisholm G D
University Department of Surgery/Urology, Western General Hospital, Edinburgh.
Br J Urol. 1990 Aug;66(2):152-4. doi: 10.1111/j.1464-410x.1990.tb14893.x.
Recent reports on the value of local anaesthetic flexible cystoscopy have emphasised excellent tolerance and preference for the technique over general anaesthetic rigid cystoscopy. However, no study has yet compared the post-operative morbidity rates of these procedures. Tolerance, preference and post-operative symptoms in 100 patients undergoing local anaesthetic flexible cystoscopy were compared with those in 100 patients undergoing general anaesthetic rigid cystoscopy. On initial questioning, 89% of patients found flexible cystoscopy painless and 92% expressed a preference for the same procedure on a future occasion; 98 patients who underwent flexible cystoscopy and 87 who underwent rigid cystoscopy returned a questionnaire on symptoms 1 week after the procedure. The incidence of post-operative symptoms was 33% following flexible cystoscopy and 76% following rigid cystoscopy. Patients in both groups who were undergoing check cystoscopy had a lower incidence of morbidity than those undergoing cystoscopy for other reasons. The results suggest that flexible cystoscopy was well tolerated and preferred by most patients. The morbidity associated with the procedure was also significantly less than that associated with rigid cystoscopy under general anaesthesia.
近期有关局部麻醉下软性膀胱镜检查价值的报告强调了该技术相较于全身麻醉下硬性膀胱镜检查具有出色的耐受性和患者偏好性。然而，尚无研究对这两种手术的术后发病率进行比较。对100例行局部麻醉下软性膀胱镜检查的患者与100例行全身麻醉下硬性膀胱镜检查的患者的耐受性、偏好性及术后症状进行了比较。在初次询问时，89%的患者认为软性膀胱镜检查无痛，92%的患者表示未来更倾向于选择相同的检查；100例行软性膀胱镜检查的患者中有98例以及100例行硬性膀胱镜检查的患者中有87例在术后1周返回了有关症状的调查问卷。软性膀胱镜检查术后症状的发生率为33%，硬性膀胱镜检查术后症状的发生率为76%。两组中因膀胱镜检查进行复查的患者的发病率低于因其他原因进行膀胱镜检查的患者。结果表明，软性膀胱镜检查耐受性良好，为大多数患者所偏好。与该手术相关的发病率也显著低于全身麻醉下硬性膀胱镜检查。
