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作者用Siemens第二代碎石机,对10例膀胱结石单独EsWL治疗。形成结石的原因:神经性膀胱3例,低顺应性膀胱3例,前列腺增生2例,有膀胱手术史1例,1例原因不明。3例为多发结石。结石最大直径8-30mm;表面面积40-1165mm~2。病人在门诊治疗,不需麻醉,术前30分口服氢羟安定1mg,取俯卧位,超声探查膀胱容量100-150ml。每块结石治疗时间20-80分钟,平均53分。平均冲击次数3600次,电压20.2KV。除1例患2块结石需2次治疗外,其余均1次治疗成功。治疗后一周排净结石。可疑有尿路感染或感染性结石者,围手术期应用抗菌素,全部病人均未发生脓毒血症。作者认为:开放或经尿道内窥镜取石,是治疗膀胱结石最常用的方法,但手术需要麻醉,故须住院治疗。合
The authors used Siemens second-generation lithotripsy to treat 10 cases of bladder stones treated with EsWL alone. Causes of formation of stones: 3 cases of neurogenic bladder, low compliance bladder in 3 cases, 2 cases of benign prostatic hyperplasia, bladder surgery in 1 case, 1 case of unknown cause. 3 cases of multiple stones. The largest diameter of stones 8-30mm; surface area 40-1165mm ~ 2. Patients in outpatient treatment, without anesthesia, hydrocortamycin 1mg orally 30 minutes before surgery, prone position, ultrasound to explore the bladder capacity of 100-150ml. Each stone treatment time 20-80 minutes, an average of 53 points. The average number of shocks 3600 times, voltage 20.2KV. In addition to 1 case of 2 stones need 2 times treatment, the rest are 1 treatment success. Pai net stones a week after treatment. Suspected urinary tract infection or infectious stones were perioperative antibiotics, all patients did not sepsis. The authors believe that: open or transurethral endoscopic lithotripsy is the most commonly used method of treatment of bladder stones, but surgery requires anesthesia, it is hospitalized. Together