CAJ | 학술논문

回顾总结前列腺增生合并膀胱结石30例患者的临床资料.结石长径1.5 ～4.0 cm.盲插或直视下经尿道置人电切镜鞘,应用标准肾镜和第三代EMS碎石清石系统击碎结石并吸出,较大或较硬结石联合气压弹道治疗.均成功碎石,碎石时间10～ 25 min,同期行经尿道前列腺电切术(TURP) 28例,无膀胱穿孔、电切综合征及严重出血发生.术后1例出现膀胱颈口挛缩,行内镜下电切治愈.无残石及膀胱结石复发.此方法治疗膀胱结石高效、安全,未增加同期TURP的风险.
회고총결전렬선증생합병방광결석30례환자적림상자료.결석장경1.5 ～4.0 cm.맹삽혹직시하경뇨도치인전절경초,응용표준신경화제삼대EMS쇄석청석계통격쇄결석병흡출,교대혹교경결석연합기압탄도치료.균성공쇄석,쇄석시간10～ 25 min,동기행경뇨도전렬선전절술(TURP) 28례,무방광천공、전절종합정급엄중출혈발생.술후1례출현방광경구련축,행내경하전절치유.무잔석급방광결석복발.차방법치료방광결석고효、안전,미증가동기TURP적풍험.
The clinical data of 30 patients with vesical calculus of 1.5 cm to 4 cm in diameter,who underwent combination of transurethral pneumatic and ultrasonic cystolithotripsy,were retrospectively analyzed.During the procedure the resectoscopic sheath was inserted into bladder through urethra,then the nephroscope was placed through the sheath.When the stone was located,the ultrasonic and pneumatic devices were used for lithotripsy and the fragments were cleared out.The procedures lasted from 10 to 25 min,all operations were successful.Transurethral resection of prostates (TURP) was performed simultaneously in 28 patients.No serious bleeding,bladder injury or transurethral resection syndrome occurred.One patient with simultaneous TURP developed bladder neck contracture one month after surgery and was later cured by endoresection.No residual chip or stone recurrence was detected.This procedure appears to be safe and highly efficient with low rate of urethrostenosis and is suitable for simotaneous prostate surgery.