尿道电切镜外鞘联合输尿管镜治疗膀胱结石（附68例报告）  

Combination of transurethral resectoscope outer sheath and ueteroscopy in treatment of bladder stones （ report on 68 cases）

作　　者：李学东[1] 王长林[1] 耿波[1] 赵恩阳[1] 

机构地区：[1]黑龙江省森工总医院泌尿外科,哈尔滨150001

出　　处：《国际外科学杂志》2012年第1期9-10,共2页International Journal of Surgery

摘　　要：目的探讨尿道电切镜外鞘联合输尿管镜钬激光治疗膀胱结石的优点与疗效。方法68例膀胱结石患者，先置人WolfF24尿道电切镜观察膀胱内部情况，退出内鞘及镜体，留置外鞘，F8输尿管镜由外鞘进入膀胱，钬激光碎石。结果68例均一次手术成功，术后无结石残留，碎石率100％，手术时间20～60min，平均（36．7±5）min，术后无明显出血，无尿道撕裂、膀胱损伤及感染等并发症。结论尿道电切镜外鞘联合输尿管镜治疗膀胱结石操作简洁，效果明确，安全性高，值得临床推广。Objective To investigate the efficacy and advantages through the combination of transurethral resectoscope outer sheath and ueteroscopy for treatment of bladder stones. Methods The Wolf F24 transurethral resectoscope was first placed in bladder to observe the lesions in 68 patients with bladder stones. With the moving out of the body and inner sheath, F8 ureteroscopy sheath was sent into the bladder through outer sheath, then, holmium laser lithotripsy was performed. Results Sixty-eight patients got successful operations without postoperative stones residual, significant postoperative bleeding, urethral tear, bladder injury and infection complications. The gravel rate reached 100% 20 - 60 minutes （ 36.7 ± 5 ） min. Conclusion The combination of transurethral resectoscope outer sheath and ueteroscopy is effective and safe for treatment of bladder stones.

关 键 词：膀胱结石 输尿管镜 尿道电切镜外鞘 

分 类 号：R699[医药卫生—泌尿科学]