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目的比较两种治疗膀胱结石方式的临床结果。方法回顾性总结尿道气压和钳夹两种机械性碎石治疗膀胱结石208例。结果气压碎石组110例,一次成功105例,占95.5%,完全排出体外;1例因结石硬度太大,改行钳夹碎石成功;4例改行开放性手术取石。大力碎石组98例,一次成功92例,占93.7%,6例无法碎石。结论两种碎石方式均是目前治疗膀胱结石有效手段,在临床治疗中可根据结石大小、硬度、并发症等合理选择适用。
Objective To compare the clinical results of two methods of treating bladder stones. Methods The urethral pressure and the clamp were retrospectively reviewed in 208 cases of bladder stones. Results 110 cases of pneumatic lithotripsy, a successful 105 cases, 95.5%, completely excreted; 1 case due to stone hardness is too large, the successful conversion of clamp lithotripsy success; 4 cases diverted open surgery stone. Vigorously gravel group of 98 cases, a successful 92 cases, accounting for 93.7%, 6 cases can not rubble. Conclusion Both of the two gravel methods are effective methods for the treatment of bladder stones. In clinical treatment, they can be applied according to the reasonable choice of stone size, hardness and complications.