经电切镜鞘途径输尿管镜下气压弹道碎石治疗膀胱结石的效果观察  

Observation on the Curative Effect of Pneumatic Lithotripsy in the Treatment of Bladder Stones with Ureteroscopy

作　　者：程卓夫 CHENG Zhuofu(Daye City People’s Hospital,Daye 435100,China)

机构地区：[1]大冶市人民医院,湖北大冶435100

出　　处：《中外医学研究》2018年第10期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探析膀胱结石进行输尿管镜下经电切镜鞘途径气压弹道碎石疗法的临床效果。方法:临床选择2016年5月-2017年3月笔者所在医院收治的膀胱结石患者90例为研究对象,根据随机数字表法分为对照组(n=45)和研究组(n=45),研究组进行输尿管镜下经电切镜鞘途径气压弹道碎石疗法,对照组进行膀胱切开取石术疗法,比较两组住院时间、伤口愈合时间、手术出血量、手术时间、碎石时间、术后疼痛VAS评分等临床指标;比较两种手术方式术后并发症发生情况。结果:研究组住院时间、伤口愈合时间、手术出血量、手术时间等临床指标均显著低于对照组,差异均有统计学意义(P<0.05);研究组术后膀胱刺激征、感染、结石残留等术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05);研究组碎石时间、术后疼痛VAS评分情况均显著优于对照组,差异均有统计学意义(P<0.05)。结论:膀胱结石进行经输尿管镜下经电切镜鞘途径气压弹道碎石疗法,手术出血少,术后并发症少,伤口愈合迅速,值得临床推广。Objective:To investigate the clinical effect of bladder lithotripsy under ureteroscopic resection of balloon lithotripsy by transurethral resection.Method:Fifty patients with bladder stones admitted in hospital from May 20 to May 2017 were selected as the control group according to the random number table method(n=45)and the study group(n=45).The study group was treated with pneumatic lithotripsy via transurethral resection of sheath under ureteroscope,the control group was treated with bladder incision lithotomy.The hospital stay,wound healing time,bleeding volume,operation time,lithotripsy time and VAS score of postoperative pain were compared between the two groups.The two groups were compared with the two groups.Surgical postoperative complications occurred.The postoperative complications between the two groups was compared.Result:The clinical time of hospitalization time,wound healing time,operation blood loss and operation time were significantly lower in the study group than in the control group,the differences were statistically significant(P<0.05).The postoperative bladder stimulation,infection,and other postoperative complications were significantly lower than the control group,the difference was statistically significant(P<0.05).The time of lithotripsy in the study group and the VAS score of postoperative pain were all significantly better than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Bladder calculus is undergoing ureteroscopic resection of balloon lithotripsy,less bleeding,less postoperative complications and rapid wound healing.It is worthy to be popularized.

关 键 词：膀胱结石 气压弹道碎石 输尿管镜 电切镜 临床观察 

分 类 号：R699.5[医药卫生—泌尿科学]