摘要
目的探讨利用原有器械组配碎石吸石系统，处理膀胱结石、肾结石等尿路结石的方法。方法2010年12月至2011年8月收治膀胱结石患者4例。均为男性。年龄42～79岁，平均63岁。两例合并尿道狭窄，其中一例患者曾有骨盆骨折、尿道断裂史，尿道狭窄几近闭锁，留置有膀胱造瘘管。另两例为前列腺增生合并膀胱结石。通过医院原有设备，组配碎石吸石系统，处理膀胱结石。分别通过膀胱造瘘13及尿道留置膀胱镜、等离子电切镜、电切镜外鞘，连接普通吸引器；外鞘内置人输尿管镜或肾镜，连接生理盐水灌注液；由输尿管镜或肾镜操作通道，使用钬激光或气压弹道碎石；同时开启吸引器，吸出结石碎屑。结果所有患者均顺利完成碎石吸石，缩短了手术时间，起到与EMS超声碎石清石系统、双导管碎石系统等相似的作用。结论通过本院原有设备，组配碎石吸石系统，可成功处理膀胱结石，在没有碎石清石系统的基层医院，值得推广应用。在设备齐全的三级医院，因该设计方案可使用激光、弹道进行碎石吸石，也是对原有碎石清石系统的良好补充。并设想在肾结石PCNL中，该方案能发挥一定作用（本院PCNL尚未正式开展，本设想尚未得到临床实验证实）。
Objectives To evaluate the use of group with lithotripsy and suction stone system for the treatment of bladder stones and renal calculi. Methods From December 2010 to August 2011,4 patients （ all males; age range,42 -79 years;mean age, 63 years）with bladder stones were treated by grouping with lithotripsy and suction stone system. Among them, Two patients with urethral stricture（ which one has a h/story of pelvic fracture and rupture of the urethra, urethral stricture nearly atresia, indwelling bladder fistula）. The other two patients with benign prostate hyperplasia. Group with lithotripsy and suction stone system with the original equipment of hospital to treat the patients with bladder stones. Placement within the bladder with cystoscopy, plasma resectoscope or resectoscope through the bladder fistulization orifice or the urethra respectively. The outer sheath is connected with a common suction device, then the ureteroscopic or nephrolithotomy is placed into the bladder through the outer sheath, connecting saline perfusion fluid; by ureteroscopy or nephroscope operation channel, using the holmium laser lithotripsy or pneumatic： ballistic lithotripsy ; at the same time open suction device, suction stone debris. Results All patients were successfully enmpleted lithotripsy and suction stone, shorten the operation time, have a similar eftect in comparison with Swiss LithoClasl Master or cyberwand dual probe ultrasonic intracnq3oreal Iithotriptor. Conclusions The treatment of bladder stones by group with lithotripsy and suction stone system with the original equipment of hospital to be safe and efficacious. In the basic level hospital, this method is worthy of popularization and application. And in the equipment of three hospitals, because of this design can use laser and pneumatic ballistic lithotripsy and suction stone, also have certain effect. And was conceived in the renal calculi in PCNL, the program can play a certain role （ the Institute of PCNI, has not yet formally launched, this idea has not yet been confirmed by elinical experiment）.
出处
《国际泌尿系统杂志》
2011年第6期749-751,共3页
International Journal of Urology and Nephrology
关键词
尿路结石
碎石术
Urinary calculi
Lithotripsy
