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目的:分析探讨两种微创手术治疗膀胱结石的临床疗效。方法:选择2012年2月-2013年10月在院接受治疗的60例膀胱结石患者随机平分为经尿道术组、造瘘术组各30例,经尿道术组行经尿道电切镜外鞘联合输尿管镜下钬激光碎石术,造瘘术组行经皮耻骨上膀胱造瘘钬激光碎石术,并对2组患者的临床疗效进行比较。结果:术后所有患者膀胱结石均得以完全清除。无1例患者出现大出血、膀胱穿孔等严重并发症。经尿道术组创伤比造瘘术组小,造瘘术组碎石清石比经尿道术组快,比较具有显著性差异,有统计学意义(P<0.05)。结论:应用经尿道钬激光碎石术、经皮膀胱造瘘钬激光碎石术对膀胱结石进行治疗均具有显著疗效,而经尿道钬激光碎石术创伤稍小,但碎石清石时间较经皮膀胱造瘘钬激光碎石术长。
Objective: To analyze and discuss the clinical effects of two minimally invasive operations on bladder stones. Methods: Sixty patients with bladder stones admitted to our hospital from February 2012 to October 2013 were randomly divided into transurethral resection group, ostomy group (n = 30) and transurethral resectoscope group Ureteroscopic holmium laser lithotripsy, ostomy group undergoing suprapubic cystostomy holmium laser lithotripsy, and the clinical efficacy of two groups of patients were compared. Results: All patients with bladder stones were completely eliminated. None of the patients had major bleeding, severe bladder perforation and other serious complications. Transurethral trauma group was smaller than the ostomy group, and the lithotripsy group was faster than the transurethral group, with significant difference (P <0.05). CONCLUSION: Transurethral holmium laser lithotripsy and percutaneous cystostomy holmium laser lithotripsy are effective in treating bladder stones, while traumatic transurethral holmium laser lithotripsy is slightly less. Percutaneous cystostomy holmium laser lithotripsy.