Holmäng S, Aldenborg F, Hedelin H
Department of Urology, Sahlgrenska Sjukhuset, University of Göteborg, Sweden.
Br J Urol. 1994 Feb;73(2):160-3. doi: 10.1111/j.1464-410x.1994.tb07485.x.
To study biopsy quality, complications and patient acceptance when urinary bladder biopsies were taken under local anaesthesia.
Multiple large cold-cup urinary bladder biopsies were taken under topical lignocaine anaesthesia in 20 patients who had previously undergone transurethral resection for superficial bladder cancer.
The procedures were carried out at the outpatient clinic with 0.5-2 h post-operative observation. Patient acceptance was very high and complications were minimal. The quality of the biopsies was consistently high and influenced treatment in the majority of the patients.
In our department multiple bladder biopsies (mapping) have previously always been performed as a transurethral resection under general or spinal anaesthesia. Operation under intravesical lignocaine anaesthesia with 2 h post-operative observation reduced the costs by 70%.
研究在局部麻醉下进行膀胱活检时的活检质量、并发症及患者接受度。
对20例既往因浅表性膀胱癌接受经尿道切除术的患者，在利多卡因局部麻醉下进行多次大型冷杯膀胱活检。
操作在门诊进行，术后观察0.5 - 2小时。患者接受度很高，并发症极少。活检质量始终很高，且在大多数患者中影响了治疗。
在我们科室，以往多次膀胱活检（定位）一直是在全身麻醉或脊髓麻醉下作为经尿道切除术进行的。在膀胱内利多卡因麻醉下进行手术并术后观察2小时，成本降低了70%。
