论文部分内容阅读
目的:探讨经皮肾金属扩张器输尿管镜弹道碎石治疗膀胱结石的应用价值。方法:回顾2009年1月~2013年1月采用经皮肾金属扩张器输尿管镜弹道碎石治疗膀胱结石80例患者的临床资料,男68例,女12例,年龄22~85岁,平均58岁。其中45例诊断为前列腺增生并膀胱结石,膀胱多发结石35例,结石多发为2~20枚。结果:80例患者全部一次性碎石成功,无明显膀胱出血,无膀胱穿孔、水中毒及结石残留等并发症,45例前列腺增生并膀胱结石患者,碎石后同期行前列腺电切术。结论:采用金属扩张器输尿管镜弹道碎石治疗膀胱结石是一种安全有效的方法,对基层医院掌握输尿镜手术经验的单位,采用本方法成功率高,适合推广。
Objective: To evaluate the value of ureteroscopic ballistic lithotripsy in the treatment of bladder stones. Methods: The clinical data of 80 patients with ureteral calculi treated with percutaneous nephrolithotracheal lithotripsy from January 2009 to January 2013 were retrospectively analyzed. There were 68 males and 12 females, aged 22-85 years, with an average of 58 year old. 45 cases were diagnosed as benign prostatic hyperplasia and bladder stones, 35 cases of multiple bladder stones, multiple stones for 2 to 20 pieces. Results: All the 80 patients were successfully treated with one-off gravel, no obvious bladder hemorrhage, no bladder perforation, water poisoning, residual stones and other complications. 45 patients with benign prostatic hyperplasia and bladder calculi were treated with prostatectomy at the same time. Conclusion: The use of metal dilator ureteroscope ballistic lithotripsy in the treatment of bladder stones is a safe and effective way to master the unit of primary hospital experience of ureteroscopic surgery, the success rate of this method is high, suitable for promotion.