摘要
目的探讨肾镜结合气压弹道碎石治疗膀胱和后尿道结石的临床疗效。方法回顾分析44例膀胱和后尿道结石患者的临床资料，结石均〉1．5cm，单纯膀胱结石9例（7例有膀胱异物），合并前列腺增生症35例。术中肾镜经尿道进入膀眺内，用肾镜配套的直径2．0mm气压弹道碎石探杆将结石击碎成3～5mm，碎石过程中将细脑室引流管随肾镜置入膀胱行膀胱减压。退镜，换用和肾镜配套的电切镜外鞘及取石钳将结石及异物取出，也可用电切环取出击碎的结石。结果44例患者均碎石成功，手术时间为10～35min，术后1个月复查B超，无结石残留。结论肾镜也是一种治疗膀胱和后尿道结石简单有效的治疗手段。
Objective To investigate the clinical effects of nephroscope associated with aerodynamic trajectory lithotrity in treatment of vesical calculi and subsequence urinary tract calculi. Methods The clinical data of 44 calculi patients was analyzed retrospectively, among them, bladder calculi in 9 cases （ 7 cases with foreign body in bladder ）, with 35 cases of hyperplasia of prostate. The size of stone was larger than 1.5cm. Nephroscope turned into the bladder through the urethra during interoperating, pneumatic ballistic lithotripsy probe supported by nephroscope crush calculi into 3 - 5mm. At the same time, fine ventricular drainage tube was imbed along with nephroscope in bladder for decompressionl Withdraw nephroscope, change the reesectoscope sheath and lithotomy forceps supportd by nephroscope to remove calculi and all of foreign body. Broken calculi were also removed by available electroresection loop. Results Totall 44 pa- tients were lithotripsy successfully in 10 - 35 minutes, no residual calculi find through B ultrasound after a month. Conclusion Nephrolithotomy is also an effective and simple method for the bladder and urinary tract calculi.
出处
《中国煤炭工业医学杂志》
2013年第10期1634-1635,共2页
Chinese Journal of Coal Industry Medicine
关键词
下尿路结石
肾镜
气压弹道碎石
Calculus of lower urinary tract
Nephroseope
Aerodynamic trajectory lithotrity
