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目的:探讨经皮膀胱通道联合经尿道双通道法治疗膀胱结石的疗效及安全性。方法:回顾性分析我院2010年9月~2014年9月应用双通道法治疗40例膀胱结石患者的临床资料:年龄68.2(50~88)岁,男38例,女2例,其中前列腺增生并膀胱结石30例,尿道狭窄并膀胱结石2例,神经源性膀胱并膀胱结石7例,上尿路结石排入膀胱后无法排出1例。结石数量1~7枚。结果:本组40例患者的一次性清石率为100%,手术时间34(30~40)min,出血16(10~20)ml,造瘘感染率1/40,尿道狭窄无明显膀胱出血、无水中毒、膀胱穿孔及结石残留等并发症。30例前列腺增生并膀胱结石患者碎石后同期行经尿道前列腺电切术。结论:双通道法碎石取石术安全、有效,更适合临床应用。
Objective: To investigate the efficacy and safety of percutaneous bladder channel combined with transurethral two-channel treatment of bladder stones. Methods: A retrospective analysis of 40 cases of bladder stones in our hospital from September 2010 to September 2014 clinical data: age 68.2 (50 to 88) years old, 38 males and 2 females, of which benign prostatic hyperplasia And bladder stones in 30 cases, urethral stricture and bladder stones in 2 cases, 7 cases of neurogenic bladder and bladder stones, upper urinary tract stones discharged into the bladder can not be discharged in 1 case. The number of stones 1 to 7. Results: In this group of 40 patients, the rate of one-time clear stones was 100%, the operation time was 34 (30-40) min, the bleeding was 16 (10-20) ml, the incidence of fistula infection was 1/40 and there was no obvious bladder hemorrhage in urethral stricture , Water poisoning, bladder perforation and residual stones and other complications. Thirty patients with benign prostatic hyperplasia and bladder stones underwent transurethral resection of the prostate after resection of the gravel. Conclusion: The dual channel lithotripsy is safe, effective and suitable for clinical application.