两种微创手术治疗膀胱结石的疗效分析  

Analysis on two kinds of minimally invasive surgery for bladder stones

作　　者：唐喆[1] 任春凯[1] 杨登伦[1] 乙从亮[1] 余秋健[1] 陈令秋[1] 

机构地区：[1]淮北市人民医院泌尿外科,安徽淮北235000

出　　处：《局解手术学杂志》2013年第4期427-428,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨两种微创同期术式治疗膀胱结石的疗效。方法对2009年11月至2012年11月我院收治的28例膀胱结石患者的临床资料进行回顾分析,其中14例患者接受耻骨膀胱造瘘气压弹道取石术,14例行经尿道电切镜外鞘联合输尿管镜气压弹道碎石术。对2组患者术中取石消耗时间、术后冲洗膀胱所用时间、导尿管留置时间、住院治疗时间、出血量与术后疗效的数据进行统计学分析。结果患者膀胱结石均清除,无大出血膀胱穿孔等并发症,但膀胱造瘘组碎石清石快,经尿道电切组创伤小,出血量少,2组比较P<0.05,有统计学意义。结论膀胱造瘘气压弹道取石术与经尿道气压弹道碎石术均能有效治疗膀胱结石。膀胱造瘘气压弹道取石术碎石清石快,经尿道气压弹道碎石术创伤小,出血量少,但是碎石清石时间较长。Objective To compare the efficacy of two kinds of minimally invasive surgical procedures for bladder stones. Methods The clinieal data of 28 patients with bladder stones from November 2009 to November 2012 in our hospital were analyzed, of which 14 patients received pneumatic ballistic lithotripsy via suprapubic cystostomyin treatment, 14 cases treated with transurethral pneumatic ballistic lithotrip- sy via outer sheath of ureterorenoseope. The removal of stone time, time of washing bladder after operation, time of indwelling catheter, hospital stays, the amount of bleeding and postoperative efficacy of both groups were statistically analyzed. Results Bladder stones of patients were removed with no complications. Conclusion Both two methods can effectively remove bladder stones. Pneumatic ballistic lithotripsy via suprapubic cystostomyin treatment has advantages of less trauma and less bleedinz, but the removal of stone time is long.

关 键 词：膀胱结石 膀胱造瘘 气压弹道碎石 微创 

分 类 号：R694.4[医药卫生—泌尿科学]