CAJ | 학술논문

目的探讨尿道电切镜外鞘联合输尿管镜钬激光治疗膀胱结石的优点与疗效.方法 68例膀胱结石患者,先置入Wolf F24尿道电切镜观察膀胱内部情况,退出内鞘及镜体,留置外鞘,F8输尿管镜由外鞘进入膀胱,钬激光碎石.结果 68例均一次手术成功,术后无结石残留,碎石率100％,手术时间20 ～ 60 min,平均(36.7±5) min,术后无明显出血,无尿道撕裂、膀胱损伤及感染等并发症.结论尿道电切镜外鞘联合输尿管镜治疗膀胱结石操作简洁,效果明确,安全性高,值得临床推广.
목적 탐토뇨도전절경외초연합수뇨관경화격광치료방광결석적우점여료효.방법 68례방광결석환자,선치입Wolf F24뇨도전절경관찰방광내부정황,퇴출내초급경체,류치외초,F8수뇨관경유외초진입방광,화격광쇄석.결과 68례균일차수술성공,술후무결석잔류,쇄석솔100％,수술시간20 ～ 60 min,평균(36.7±5) min,술후무명현출혈,무뇨도시렬、방광손상급감염등병발증.결론 뇨도전절경외초연합수뇨관경치료방광결석조작간길,효과명학,안전성고,치득림상추엄.
Objective To investigate the efficacy and advantages through the combination of transurethral resectoscope outer sheath and ueteroscopy for treatment of bladder stones.Methods The Wolf F24 transurethral resectoscope was first placed in bladder to observe the lesions in 68 patients with bladder stones.With the moving out of the body and inner sheath,F8 ureteroscopy sheath was sent into the bladder through outer sheath,then,holmium laser lithotripsy was performed.Results Sixty-eight patients got successful operations without postoperative stones residual,significant postoperative bleeding,urethral tear,bladder injury and infection complications. The gravel rate reached 100％ 20 - 60 minutes ( 36.7 ± 5 ) min.Conclusion The combination of transurethral resectoscope outer sheath and ueteroscopy is effective and safe for treatment of bladder stones.