论文部分内容阅读
目的:探讨全膀胱切除异位可控膀胱术后合并贮尿囊结石的内窥镜治疗方法。方法:2003年3月～2011年5月期间对11例全膀胱切除异位可控膀胱术后合并贮尿囊结石的患者采用摄像监视系统、灌洗泵、不同内窥镜及碎石系统经输出道进入贮尿囊进行碎石及取石,其中3例阑尾输出道患者采用F8/9.8Wolf输尿管硬镜或输尿管软镜进入贮尿囊内行气压弹道碎石或钬激光碎石;4例回肠输出道患者采用F19.5Wolf尿道膀胱镜进入贮尿囊内行气压弹道碎石或钬激光碎石;4例回肠输出道患者采用F21Wolf肾镜进入贮尿囊内行EMS超声碎石。结果:11例患者经输出道将贮尿囊内结石全部取出,并发症出现少,对输出道的抗尿失禁作用影响少。结论:对全膀胱切除异位可控膀胱术后合并贮尿囊结石,可采用不同的碎石系统和不同的内窥镜经输出道进入贮尿囊内进行碎石,其并发症少,效果满意。
Objective: To investigate the method of endoscopic treatment of cadaveric calculus after cystectomy and ectopic controllable bladder surgery. Methods: From March 2003 to May 2011, 11 patients undergoing total cystectomy and ectopic controllable bladder surgery combined with storage of urinary calculus were treated with video surveillance system, lavage pump, different endoscope and gravel system The output road into the storage of urine storage for lithotripsy and stone removal, of which 3 cases of patients with appendix output path using F8 / 9.8Wolf ureteroscope or ureteroscopy into the storage of bladder pressure pneumatic lithotripsy or holmium laser lithotripsy; 4 cases of ileal output Road patients using F19.5Will urethral cystoscopy into the storage vessel by pneumatic lithotripsy or holmium laser lithotripsy; 4 cases of ileum export patients using F21Wolf nephroscope into the storage vessel within the EMS ultrasound lithotripsy. Results: All the 11 patients had all the stones removed via the delivery tract with fewer complications, and had little effect on the urinary incontinence effect of the outlet tract. CONCLUSIONS: After cystectomy and ectopic controllable bladder surgery, the stones in the storage and storage of bladder stones can be grasped by different gravel systems and different endoscopes. satisfaction.