CAJ | 학술논문

目的总结钬激光联合电切镜治疗膀胱结石的经验.方法经尿道电切镜直视下进入膀胱后,用F5输尿管导管作鞘穿过钬激光光纤,然后将此光纤连同输尿管导管一起经电切镜的电极孔进入膀胱,调整钬激光功率碎除结石,Ellik吸出碎石,有前列腺切除手术指征者同期行前列腺电切术或前列腺汽化电切术.结果 40例均一次手术成功,手术时间15～120 min,术后无电切综合征,无膀胱穿孔及大出血,无结石残留.结论钬激光联合电切镜治疗膀胱结石,用F5输尿管导管作激光光纤外鞘可保持膀胱内灌注压力并能保护光纤,减少腔镜器械的使用,缩短手术时间,手术方法安全、有效.
목적 총결화격광연합전절경치료방광결석적경험.방법 경뇨도전절경직시하진입방광후,용F5수뇨관도관작초천과화격광광섬,연후장차광섬련동수뇨관도관일기경전절경적전겁공진입방광,조정화격광공솔쇄제결석,Ellik흡출쇄석,유전렬선절제수술지정자동기행전렬선전절술혹전렬선기화전절술.결과 40례균일차수술성공,수술시간15～120 min,술후무전절종합정,무방광천공급대출혈,무결석잔류.결론 화격광연합전절경치료방광결석,용F5수뇨관도관작격광광섬외초가보지방광내관주압력병능보호광섬,감소강경기계적사용,축단수술시간,수술방법안전、유효.
Objective To investigate the effect of transurethral holmium YAG laser in treatment of bladder calculi.Methods F5 laser fiber in the holmium YAG laser was used to treat 40 patients with bladder calculi.Then the effect was observed.Results All 40 cases were successfully done by the operation time range from 15 to 120 minutes.There were no major complications,such as TRUS,bladder rupture or major bleeding.There was no residue stone.Conclusion F5 laser fiber in the holmium YAG laser treatment could be protected by the transurethral scope.It was safe,effective and has shorter operation time in treatment of bladder calculi.