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目的 探讨临床一期经尿道钬激光碎石治疗脐尿管憩室合并哑铃状膀胱结石的可行性.方法 脐尿管憩室合并哑铃状膀胱结石患者3例,男性,年龄39～ 52岁.1例术前诊断为膀胱结石,2例术前诊断为脐尿管憩室合并哑铃状膀胱结石,均经手术明确诊断并接受一期经尿道钬激光碎石治疗,激光碎石功率20 W,平均时间600 s.术后3～9个月复查B超及CT复查膀胱及憩室内改变.结果 3例患者术后随访3～9个月无尿漏、尿外渗及结石复发,脐尿管憩室未见其余病变,继续临床观察中.结论 脐尿管憩室合并哑铃状膀胱结石主要通过影像学检查及膀胱镜检查明确诊断.一期经尿道钬激光碎石治疗可以作为一种临床治疗方法.“,”Objective To investigate the clinical feasibility to treat vesicourachal diverticulum with dumbbell-shaped stones with transurethral holmium laser.Methods 3 cases of vesicourachal diverticulum accompanied by dumbbell-shaped stones were selected,in which the patients were male and aged from 39 to 52,including 1 case of bladder calculiand and 2 cases of vesicourachal diverticulum with dumbbell-shaped stones.moreover,they were all clearly diagnosed via surgery and given Stage Ⅰ transurethral holmium laser lithotripsy,laser power 20 W,average time 600 s.Results All these 3 patients were diagnosed urachal diverticulum with dumbbell-shaped stones.Neither recurrence of urinary leakage,extravasation and urinary stone nor occurrence of other urachal diverticulum lesions was observed during the 3-9 month follow-up after the operation.Conclusions Vesicourachal diverticulum with dumbbell-shaped stones is diagnosed mainly via imaging and cystoscopy examinations.Transurethral holmium laser lithotripsy can be used clinically to treat vesicourachal diverticulum with dumbbell-shaped stones.