电切镜鞘辅助肾镜气压弹道碎石治疗膀胱结石的临床效果  

Efficacy of pneumatic ballistic lithotripsy via outer sheath of resectoscopy on bladder calculi

作　　者：岳永俊 

机构地区：[1]长治医学院附属和济医院泌尿外科,山西长治046000

出　　处：《中国实用医刊》2017年第11期43-44,共2页Chinese Journal of Practical 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临床效果.方法 选取2014年1月至2015年2月膀胱结石患者117例,随机分为两组.对照组58例给予气压弹道碎石术,观察组59例给予电切镜鞘辅助肾镜气压弹道碎石术.比较两组临床疗效.结果 观察组术后成功率为100%（59/59）,高于对照组的82.76%（48/58）.观察组结石直径〉25 mm者手术时间为（31.3±7.6）min、成功率为100%（18/18）;对照组分别为（39.6±8.3）min、64.7%（11/17）,两组比较差异有统计学意义（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,操作方便,手术用时少,机体损伤小,碎石效果显著.Objective To investigate the efficacy of pneumati ballisticc lithotripsy via outer sheath of resectoscopy on bladder calculi.Methods From January 2014 to February 2015, 117 patients with bladder calculi were selected and randomly divided into two groups.Fifty-eight cases in the control group were given pneumatic ballistic lithotripsy, and 59 cases in the observation group were treated by pneumatic ballistic lithotripsy via outer sheath of resectoscopy.The efficacy between the two groups were compared.Results The postoperative success rate of the observation group was 100%（59/59）, which was higher than that of the control group[82.76%（48/58）].The operation time of patients＇ stone diameter 〉25 mm in the observation group was （31.3±7.6）min, the success rate was 100%（18/18）, and those in the control group were （39.6±8.3）min, 64.7%（11/17） respectively, the difference was significant （P〈0.05）.Conclusions Pneumatic ballistic lithotripsy via outer sheath of resectoscope in the treatment of bladder stones is easy to operate and less operation time, the damages is slightly and the effect is remarkable.

关 键 词：肾镜气压弹道碎石 膀胱结石 电切镜鞘 

分 类 号：R699.5[医药卫生—泌尿科学]