经皮膀胱穿刺弹道碎石与经尿道膀胱碎石治疗小儿膀胱结石临床对照研究  

Clinical Study of Percutaneous Bladder Puncture Ballistic Lithotripsy and Transurethral Bladder Lithotipsy for Treatment of Children with Bladder Calculi

作　　者：冯勋强[1] 

机构地区：[1]山东省菏泽市立医院小儿外科,山东菏泽274000

出　　处：《河北医学》2016年第3期372-374,共3页Hebei Medicine

基　　金：山东省科技攻关课题;(编号:2013GG2342031)

摘　　要：目的:探讨小儿膀胱结石治疗中经皮膀胱穿刺造瘘弹道碎石术与经尿道膀胱碎石取石术治疗的临床疗效与安全性。方法:选取2013年至2015年我院收治的膀胱结石患儿40例,随机分为两组,研究组选择经皮膀胱穿刺弹道碎石术,对照组选择经尿道膀胱碎石术。结果:研究组患儿一次手术清除率明显高于对照组,手术时间相比对照组明显缩短,术后并发症发生率明显低于对照组。结论:经皮膀胱穿刺弹道碎石术具有良好的临床效果,结石清除率高且无明显并发症,微创性较好,是小儿膀胱结石治疗的有效治疗术式。Objective： To observe the clinical efficacy and safety of percutaneous bladder puncture colostomy ballistic lithotripsy and transurethral bladder lithotripsy for the treatment of children with blader caluli.Methods： 40 cases with bladder stones in our hospital from 2013 to 2015 were selected and randomly divided into two groups： reaserch group and control group. The patients in research group adoptes percutaneous bladder puncture ballistic lithotripsy,while those in the control group used transurethral bladder lithotripsy. Results： The clearance rate in research group was significantly higher than that in control group,the operation time was obviously shorter,and the incidence of postoperative complications was lower. Conclusion： Percutaneous bladder puncture ballistic lithotripsy showed good clinical effect,high clearance rate of stone without obvious complications,and minimal invasion. It is an effective treatment of clildren with bladder calculi.

关 键 词：经皮膀胱穿刺弹道碎石 经尿道膀胱碎石 小儿膀胱结石 

分 类 号：R726.9[医药卫生—儿科]