仁济要闻|健康“出路”有方向 泌尿科名医来护航
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1Qqm86rVQkmSv2tFnUDxHiag7RKVPJIWJINtscmvaORiclG4BsKAFciaNA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">8月31日,上海电视台《名医大会诊》《名医话养生》栏目与上海交通大学医学院<span style="color: black;">附庸</span>仁济医院携手举办的“健康出路有方向 泌尿科名医来护航”大型公益科普讲座活动成功举行。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">此次活动聚焦人体“下水道”泌尿系统的问题,仁济医院泌尿科享誉全国,泌尿科<span style="color: black;">专家</span>薛蔚教授以及陈海戈、陈奇、陈勇辉四位专家,平时一号难求,今天<span style="color: black;">构成</span><span style="color: black;">成为了</span>闪亮的F4阵容为广大泌尿<span style="color: black;">疾患</span><span style="color: black;">病人</span>的健康“出路”指明方向。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上海电视台主持人邢航现场主持,百余位社区居民和<span style="color: black;">病人</span>现场参与,此次活动<span style="color: black;">同期</span><span style="color: black;">经过</span><span style="color: black;">瞧瞧</span><span style="color: black;">资讯</span>APP以及“名医话养生名医大会诊”<span style="color: black;">微X</span>公众号<span style="color: black;">供给</span>收看直播。在公众号里互动社区以及直播互动环节,观众与专家进行了充分地交流互动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">仁济医院泌尿科的四位专家分别就前列腺肿瘤、泌尿系结石、泌尿系肿瘤、膀胱肿瘤这四大<span style="color: black;">疾患</span>进行了针对性地讲解。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1zlwQSZlUDokBz1z6ic112PWVIIBibp4rPPPShlHjFjrcCrMVsF8hgqZg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">薛蔚</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">围绕<span style="color: black;">怎样</span>防治前列腺<span style="color: black;">疾患</span>,泌尿科<span style="color: black;">专家</span>、<span style="color: black;">专家</span>医师薛蔚教授做了深入浅出地讲解。他<span style="color: black;">首要</span>指出,前列腺<span style="color: black;">疾患</span>最<span style="color: black;">平常</span>的有三种:前列腺炎、前列腺增生和前列腺癌。前两者为良性<span style="color: black;">疾患</span>,前列腺炎在我国中青年男性中高发,而前列腺增生则几乎在所有老年男性中都<span style="color: black;">区别</span>程度的存在,前列腺癌则<span style="color: black;">必要</span>要与<span style="color: black;">以上</span>两种<span style="color: black;">疾患</span>区别开。<span style="color: black;">怎样</span><span style="color: black;">发掘</span>前列腺癌?他提醒,<span style="color: black;">倘若</span><span style="color: black;">显现</span>骨骼<span style="color: black;">病痛</span>,<span style="color: black;">必定</span>要多个心眼,排除前列腺癌骨转移的可能。而直肠指检联合前列腺特异性抗原(PSA)<span style="color: black;">检测</span>是<span style="color: black;">日前</span>公认的<span style="color: black;">初期</span><span style="color: black;">发掘</span>前列腺癌最佳的初筛<span style="color: black;">办法</span>。在治疗上,他指出,根治性前列腺切除术(简<span style="color: black;">叫作</span>根治术)是治愈局限性前列腺癌最有效的<span style="color: black;">办法</span>之一。<span style="color: black;">日前</span>达芬奇<span style="color: black;">设备</span>人辅助下的前列腺癌根治术已被广泛开展,与传统开放手术相比,其能够<span style="color: black;">显著</span>减少术中<span style="color: black;">流血</span>,降低输血率,缩短手术学习曲线。<span style="color: black;">因为</span>操作更为精细,<span style="color: black;">经过</span>术中对神经的<span style="color: black;">守护</span>,<span style="color: black;">能够</span><span style="color: black;">明显</span>降低<span style="color: black;">病人</span>术后的尿失禁率与性功能<span style="color: black;">阻碍</span><span style="color: black;">出现</span>率。今年6月,仁济医院泌尿科成功实施了国内首例达芬奇<span style="color: black;">设备</span>人荧光显像辅助技术下根治性前列腺切除加盆腔扩大淋巴清扫术,使得<span style="color: black;">大夫</span>能<span style="color: black;">明显</span>将病变淋巴结与<span style="color: black;">周边</span>组织结构区分出来,主刀<span style="color: black;">大夫</span><span style="color: black;">能够</span>做到更安全、更精细、更完整、不疏漏的切除。<span style="color: black;">另外</span>,他还介绍了另一项新型技术:前列腺癌冷冻治疗(CSAP),因其<span style="color: black;">拥有</span>创伤小、效果佳、并发症少、<span style="color: black;">恢复</span>快、便于重复治疗等特点,在美国等发达国家<span style="color: black;">已然</span>得到广泛临床应用,<span style="color: black;">尤其</span>对不适合根治手术的老年男性<span style="color: black;">病人</span>或放疗后局部复发的前列腺癌<span style="color: black;">病人</span>,鉴于其创伤小、疗效确切的特点,<span style="color: black;">拥有</span>特殊的价值。</p><img src="http://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1PWL8T2TanCVmKs14ricdP9gv36jxiayZZ17H7dFlSysrwKCiaQ5Gcy6kA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">陈 奇</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">针对夏天高发的泌尿急症,仁济医院泌尿科副<span style="color: black;">专家</span>医师陈奇指出,<span style="color: black;">因为</span>天气炎热,出汗多,<span style="color: black;">引起</span>尿液浓缩,容易形成结石;<span style="color: black;">此刻</span><span style="color: black;">青年</span>人<span style="color: black;">爱好</span>喝高糖饮料及高热量<span style="color: black;">食品</span>,<span style="color: black;">亦</span>是形成结石的高危<span style="color: black;">原因</span>;除了<span style="color: black;">青年</span>人外,另一类夏季<span style="color: black;">平常</span>的结石病人是老年女性,这<span style="color: black;">重点</span>与<span style="color: black;">长时间</span>伴发尿路感染,夏季尿液浓缩、尿量减少,对尿路的冲刷<span style="color: black;">功效</span>减弱<span style="color: black;">相关</span>。据他介绍,<span style="color: black;">一般</span>泌尿系结石的症状有:<span style="color: black;">病痛</span>、血尿和泌尿系感染,偶尔伴有消化道症状如恶心、呕吐,<span style="color: black;">少许</span><span style="color: black;">状况</span>下,<span style="color: black;">倘若</span><span style="color: black;">显现</span>双侧结石梗阻,则会<span style="color: black;">显现</span><span style="color: black;">没</span>尿。值得一提的是,并非不痛的结石就<span style="color: black;">没关系</span>,有些巨大的肾结石反倒<span style="color: black;">不易</span>落入输尿管<span style="color: black;">导致</span>急性梗阻,但这类结石更<span style="color: black;">必须</span>处理。针对泌尿系结石有<span style="color: black;">那些</span>治疗手段?他指出泌尿系结石若<span style="color: black;">少于</span>4mm,80%的<span style="color: black;">病人</span><span style="color: black;">能够</span><span style="color: black;">自动</span>排出。<span style="color: black;">能够</span><span style="color: black;">经过</span>多运动及多饮水来促进排石。超过7mm的结石则<span style="color: black;">自动</span>排出的机会就很小。他分别介绍了体外震波碎石术、输尿管镜下碎石术、经皮肾镜碎石术,尤其介绍了治疗肾结石的最新科技——超细经皮肾镜碎石术,他说到,这一新技术相当于在腰上“扎一根针”。术后几乎看不出伤口,且<span style="color: black;">都数</span><span style="color: black;">病人</span><span style="color: black;">没</span>需留置肾造瘘管。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1lhhvMUkPD8HicDdApqKiaYhc0WfmP4gqNYibDktuuwN5KKpElMn2GlX6Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">陈勇辉</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">围绕“肾脏肿瘤<span style="color: black;">哪些</span>事儿”,仁济医院泌尿科副<span style="color: black;">专家</span>医师陈勇辉从“体检中<span style="color: black;">那些</span>指标和肾脏<span style="color: black;">相关</span>?”<span style="color: black;">起始</span>,深入浅出地介绍了肾癌的<span style="color: black;">发掘</span>、诊断与治疗。他指出,一般体检时<span style="color: black;">发掘</span>肾脏上实质性的占位会<span style="color: black;">叫作</span>之为“肿瘤”,但<span style="color: black;">倘若</span>是一个“泡泡”装着一包“水”,那<span style="color: black;">咱们</span>就<span style="color: black;">叫作</span>之为“囊肿”。肾脏囊肿很<span style="color: black;">平常</span>,<span style="color: black;">通常</span><span style="color: black;">来讲</span>,在50岁以上的人群中,50%以上的人体检时会<span style="color: black;">发掘</span>肾囊肿。其中绝大<span style="color: black;">都数</span>是<span style="color: black;">所说</span>单纯性肾囊肿。这种类型的囊肿<span style="color: black;">一般</span>不会转变为癌症。<span style="color: black;">仅有</span>当该囊肿<span style="color: black;">导致</span><span style="color: black;">病人</span><span style="color: black;">显著</span>症状及压迫肾脏<span style="color: black;">导致</span>积水的<span style="color: black;">状况</span>下,才<span style="color: black;">必须</span>手术治疗,其它<span style="color: black;">状况</span>不<span style="color: black;">必须</span>治疗,<span style="color: black;">定时</span>观察<span style="color: black;">就可</span>。还有部分囊肿属于<span style="color: black;">繁杂</span>性肾囊肿,它与肾癌关系较为密切,<span style="color: black;">必须</span><span style="color: black;">即时</span>采取外科手术治疗。这类囊性肾癌<span style="color: black;">通常</span><span style="color: black;">经过</span><span style="color: black;">加强</span>CT、超声造影或<span style="color: black;">加强</span>MRI来诊断。据他介绍,肾肿瘤的微波消融是<span style="color: black;">日前</span>保肾治疗的前沿技术。仁济医院泌尿科在国内率先开展微波消融辅助的零缺血保肾手术取得非常好的效果,<span style="color: black;">尤其</span>是<span style="color: black;">针对</span><span style="color: black;">少于</span>3cm的小肾癌用普通手术有高度<span style="color: black;">危害</span>的<span style="color: black;">病人</span>尤其合适,<span style="color: black;">日前</span><span style="color: black;">已然</span>开展数百例腹腔镜肾肿瘤射频消融和微波消融手术,使保肾手术更加微创,肾功能影响更小,住院时间<span style="color: black;">显著</span>缩短,大多<span style="color: black;">病人</span>只需住院2-3天。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1iaJZHHWEaqNDn7h4JdVNMkic2DI2glc0RwWfrtt9ToibasULQ08R6lTaw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">陈海戈</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“顺流而下”,聊一聊膀胱。仁济医院泌尿科<span style="color: black;">专家</span>医师陈海戈指出,膀胱从结构看<span style="color: black;">能够</span>把它想象为一个<span style="color: black;">能够</span>收集尿液的袋子,当袋子满了的时候就会给大脑发出排尿信号,<span style="color: black;">从而</span>去排空膀胱。<span style="color: black;">然则</span>膀胱一旦得了肿瘤,要处理起来可一点儿<span style="color: black;">亦</span>不简单。<span style="color: black;">因为</span>尿液里的致癌物在膀胱内的停留时间最长,<span style="color: black;">因此呢</span>膀胱癌的<span style="color: black;">出现</span>与多种环境中的致癌物密切<span style="color: black;">关联</span>,<span style="color: black;">重点</span><span style="color: black;">包含</span>吸烟、染发、化学致癌物接触史等。膀胱癌的典型症状是间歇性、<span style="color: black;">没</span>痛性的肉眼血尿,有时会伴有血块。在体检中,尿液常规中若提示血尿或镜下血尿,则<span style="color: black;">必须</span>做进一步<span style="color: black;">检测</span>,<span style="color: black;">警觉</span>膀胱癌的<span style="color: black;">出现</span>。他指出,尿液肿瘤标志物可<span style="color: black;">帮助</span><span style="color: black;">初期</span>诊断膀胱肿瘤,而膀胱镜<span style="color: black;">检测</span>+组织病理学是诊断膀胱癌的金标准!<span style="color: black;">那样</span>“得了膀胱癌,膀胱都要切除吗?”陈海戈指出,<span style="color: black;">倘若</span>把膀胱比作一个椰子,<span style="color: black;">那样</span>长在椰蓉这一层的肿瘤<span style="color: black;">能够</span>比作是浅表性膀胱癌;而长得更深、长到椰子壳这一层的肿瘤,则<span style="color: black;">能够</span>比作肌层浸润性膀胱癌。浅表性膀胱癌约占初发膀胱肿瘤的75%-85%,在治疗上<span style="color: black;">通常</span>不<span style="color: black;">必须</span>切除膀胱,只需<span style="color: black;">经过</span>膀胱镜做内镜下的肿瘤切除,<span style="color: black;">协同</span>术后膀胱内的局部灌注化疗<span style="color: black;">就可</span>。而基层浸润性膀胱癌的预后较差,标准治疗以膀胱癌根治术为主,及<span style="color: black;">必须</span>作膀胱全切,部分<span style="color: black;">病人</span>需<span style="color: black;">协同</span>术前和/或术后的全身化疗。<span style="color: black;">同期</span>,针对膀胱不得不全切的<span style="color: black;">病人</span>,将<span style="color: black;">经过</span>尿流改道:输尿管皮肤造口、回肠膀胱术(Bricker术)和原位新膀胱术,给<span style="color: black;">病人</span>带来较好的术后生活质量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">专家介绍后,台下观众与专家进行了充分地交流互动。专家们细致地解答了观众的提问。节目结束,《名医大会诊》《名医话养生》栏目组及全体工作人员与仁济泌尿科四大专家合影留念。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82GZFN3loRZbqCyuT9r0ugl1SOYZaKYzE2iaTxphStJovOgACTgumxEIic1gxzBRPMEuE496IfLVIefA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">——</span><strong style="color: blue;">上海仁济医院官方<span style="color: black;">微X</span></strong><span style="color: black;">——</span></p><img src="http://mmbiz.qpic.cn/mmbiz_jpg/9vLHdiaxQ82HhQcHv4Uyv5va0ohncV4ehR3NBibnvWcE93M8k0q5O6iaj1C30CG6kvRA8XKScrOByRSLLHYI1boug/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
期待更新、坐等、迫不及待等。 你的见解真是独到,让我受益匪浅。 这篇文章真的让我受益匪浅,外链发布感谢分享!
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