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目的:探讨经皮膀胱造瘘输尿管镜下钬激光碎石治疗膀胱结石的有效性与安全性。方法:大体积或多发膀胱结石患者20例,均采用经皮膀胱造瘘输尿管镜下钬激光碎石。结果:所有手术顺利完成。平均手术时间25min(10-40min),结石取净率100%,术中无膀胱穿孔或破裂、尿道损伤,术后无大出血、尿道狭窄、感染等并发症。随访平均6个月(1-24个月),无结石复发及尿道狭窄。结论:经皮膀胱造瘘输尿管镜下钬激光碎石术治疗膀胱结石效果满意,避免了患者排石痛苦或开放手术的损伤。
Objective: To investigate the efficacy and safety of percutaneous vesico-fistula ureteroscopic holmium laser lithotripsy in the treatment of bladder stones. Methods: 20 patients with large or multiple bladder stones were treated with transurethral cystostomy ureteroscopic holmium laser lithotripsy. Results: All the operations were completed successfully. The average operation time was 25min (10-40min). The stone removal rate was 100%. There was no perforation or rupture of the bladder in the operation, urethral injury, no postoperative bleeding, urethral stricture, infection and other complications. Follow-up average 6 months (1-24 months), no recurrence of stone and urethral stricture. Conclusion: Percutaneous vesico-stastoscopic ureteroscopic holmium laser lithotripsy is effective in treating bladder stones and avoids the pain or open surgery injury.