肾镜下气压弹道碎石术治疗后尿道结石的效果观察  

Effect of pneumatic lithotripsy under nephroscope in the treatment of posterior urethral calculi

作　　者：王勇[1] 黄泳富 Wang Yong;Huang Yongfu(department of urology,first people＇ s hospital,Ziyang city Sichuan 641300)

机构地区：[1]四川省资阳市第一人民医院泌尿外科,四川资阳641300

出　　处：《当代医药论丛》2018年第12期67-68,共2页

摘　　要：目的:研究用肾镜下气压弹道碎石术治疗后尿道结石的效果。方法:对在四川省资阳市第一人民医院进行手术治疗的100例后尿道结石患者的临床资料进行回顾性分析。根据手术方法的不同将其分为肾镜下气压弹道治疗组和开放性手术组。为开放性手术组50例患者采用开放性手术进行治疗,为肾镜下气压弹道治疗组50例患者采用肾镜下气压弹道碎石术进行治疗。然后对比两组患者手术的时间、术中的出血量、结石的总清除率、膀胱出血及尿道感染等并发症的发生情况。结果:肾镜下气压弹道治疗组患者结石的总清除率高于开放性手术组患者,其手术的时间短于开放性手术组患者,其术中的出血量少于开放性手术组患者,P<0.05。结论:用肾镜下气压弹道碎石术治疗后尿道结石的效果较好。Objective：To study the effect of nephroscopic pneumatic lithotripsy on posterior urethral calculi. Methods： the clinical data of 100 patients with posterior urethral calculi treated by operation in the first people＇s hospital of ziyang, sichuan province were retrospectively analyzed. According to the different surgical methods, it was divided into two groups, namely, the nephroscopic pneumatic ballistics treatment group and the open surgery group. 50 patients in the open surgery group were treated with open surgery, and 50 patients in the barometric ballistics treatment group under renal lens were treated with barometric lithotripsy under renal lens. Then, the time of operation, intraoperative blood loss, total removal rate of stone, bladder bleeding and urethral infection were compared between the two groups. Results： the total removal rate of calculi was higher in the group treated with barometric ballistics under nephroscope than in the open surgery group, the operation time was shorter than that of the open surgery group, and the intraoperative blood loss was lower than that of the open surgery group, P〈 0.05. Conclusion： the effect of pneumatic lithotripsy under nephroscope on posterior urethral calculi is better.

关 键 词：肾镜 气压弹道碎石 后尿道结石 

分 类 号：R693.4[医药卫生—泌尿科学]