电切镜鞘辅助肾镜气压弹道碎石治疗膀胱结石的效果分析  

Effect analysis of resectoscope sheath auxiliary kidney pneumatic ballistic lithotripsy treating bladder calculi

作　　者：于国盛[1] 杨波[1] 郝战宽[1] 张世杰[1] 王文斌[1] 

机构地区：[1]辽宁省庄河市中心医院泌尿外科,辽宁庄河116400

出　　处：《中国当代医药》2016年第8期31-33,36,共4页China Modern Medicine

摘　　要：目的 探讨电切镜鞘辅助肾镜气压弹道碎石治疗膀胱结石的效果。方法 选择我院2010年8月-2015年10月收治的186例膀胱结石患者,按照随机数字表法将患者分为观察组和对照组,每组93例。术前控制所有患者的基础疾病,改善其一般状况,同时行PKVP者按照PKVP术进行术前准备。观察组采用电切镜鞘辅助肾镜气压弹道碎石术,对照组采用单纯气压弹道碎石。结果 观察组93例患者均一次清石成功,在手术时间、手术成功率、住院费用方面均明显优于对照组（P25 mm）的手术效果比较发现,观察组的手术成功率为100.0%,手术时间为（31.33±7.58）min,对照组分别为72.1%,（39.59±8.25）min,观察组在手术时间、手术成功率方面优于对照组（P〈0.05）。结论 电切镜鞘辅助肾镜气压弹道碎石治疗膀胱结石具有操作简单、清石效率高、手术时间短、使用器械价格便宜等优点,是治疗膀胱结石的理想方法。Objective To investigate the effect of resectoscope sheath auxiliary kidney pneumatic ballistic lithotripsy treating bladder calculi. Methods 186 cases with bladder calculi treated by our hospital from August 2010 to October 2015 were selected,and they were divided into observation group （n=93） and control group （n=93） according to the random number table method.Before treatment,underlying disease of all patients was controlled and general condition of patients was improved,at the same time,patients conducted PKVP were given preoperative preparation according to PKVP operation.Observation group was treated by resectoscope sheath auxiliary kidney pneumatic ballistic lithotripsy, while control group was treated by simple pneumatic ballistic lithotripsy. Results 93 cases were given successful lithotripsy all at once in observation group,and in the aspect of operative time,success rate of operation,hospitalization cost,observation group was significantly better than that of control group （P〈0.05）.The operation effect of larger stone （diameter〉25 mm） compared between two groups showed that the success rate of observation group was 100.0%,the operation time was （31.33±7.58） min,while control group was 72,1%,（39.59±8.25） rain respectively,and in the aspect of operative time,success rate of operation,observation group was significantly better than that of control group （P〈0.05）. Conclusion Resectoscope sheath auxiliary kidney pneumatic ballistic lithotripsy treating bladder calculi has the advantages of simple operation,high stone clearance efficiency,short operation time,cheap used equipment price and so on,and it is is the ideal method of treating bladder calculi.

关 键 词：电切镜 肾镜 气压弹道 膀胱结石 

分 类 号：R694.4[医药卫生—泌尿科学]