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目的探讨经尿道电切镜鞘气压弹道碎石术治疗膀胱结石的疗效。方法收集2008年3月-2013年3月,采用经尿道电切镜鞘气弹道碎石术治疗膀胱结石的56例患者的临床资料,进行回顾性分析。结果 56例患者均一次手术成功,无中转开放手术。其中22例合并前列腺增生症患者碎石行经尿道前列腺电切术,4例膀胱颈挛缩患者行膀胱电切术,4例尿道狭窄患者入镜前行尿道扩张,26例患者单纯行膀胱结石碎石。手术时间25~90 min,平均(45±16)min,均无结石残留,无膀胱穿孔。术后尿道狭窄1例。结论经尿道电切镜鞘输尿管肾镜气压弹道碎石术治疗膀胱结石,是一种手术创伤小、效率高、并发症少、术后恢复快、安全、可靠的治疗方法,特别适合于合并前列腺增生者。
Objective To investigate the efficacy of transurethral resectoscopic pneumatic lithotripsy in the treatment of bladder stones. Methods The clinical data of 56 patients with bladder calculi treated with transurethral resectoscope and sheath-gas-ballistic lithotripsy from March 2008 to March 2013 were retrospectively analyzed. Results All the 56 patients were successful in one operation. No open surgery was performed. Among them, 22 cases of BPH patients underwent transurethral resection of the gravel, 4 cases of bladder neck contracture underwent bladder resection, 4 cases of urethral stenosis before urethral dilation, 26 cases of simple bladder stone . The operation time was 25-90 min with an average of (45 ± 16) min, no residual stones and no bladder perforation. Postoperative urethral stricture in 1 case. Conclusions Transurethral resection and ureteroscopic ureteroscopic pneumatic lithotripsy for the treatment of bladder stones is a safe and reliable treatment method with less trauma, high efficiency, less complications and quick postoperative recovery. It is especially suitable for the treatment of prostate Hyperplasia.