医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
6期
1147-1149
,共3页
膀胱结石%碎石术
膀胱結石%碎石術
방광결석%쇄석술
Urinary Bladder Calculi%Lithotripsy
【目的】探讨三种碎石术治疗复杂性膀胱结石的价值。【方法】分析本院收治的126例复杂性膀胱结石患者手术治疗的临床资料，126例中，其中单发结石55例，直径2．5～4．7 cm，多发结石71例，最小径≥1．0 cm；采用气压弹道碎石33例，瑞士 EMS公司碎石清石系统（EMS）超声碎石51例，钬激光治疗42例，分别对三组患者术中冲水量、出血量、手术时间、术后住院时间、膀胱黏膜的损伤程度及术后膀胱痉挛比例进行比较分析。【结果】126例均经尿道一次性清除结石，无中转手术。钬激光组除手术时间较长外，其余各项指标均优于其它两组（P＜0．05），EMS组除冲水量外，其余各项指标与气压弹道组比较差异无显著性（P ＞0．05）。【结论】钬激光治疗复杂性膀胱结石可有效避免术中结石漂移、冲水过多，减少膀胱损伤、术后膀胱痉挛和术后住院日。
【目的】探討三種碎石術治療複雜性膀胱結石的價值。【方法】分析本院收治的126例複雜性膀胱結石患者手術治療的臨床資料，126例中，其中單髮結石55例，直徑2．5～4．7 cm，多髮結石71例，最小徑≥1．0 cm；採用氣壓彈道碎石33例，瑞士 EMS公司碎石清石繫統（EMS）超聲碎石51例，鈥激光治療42例，分彆對三組患者術中遲水量、齣血量、手術時間、術後住院時間、膀胱黏膜的損傷程度及術後膀胱痙攣比例進行比較分析。【結果】126例均經尿道一次性清除結石，無中轉手術。鈥激光組除手術時間較長外，其餘各項指標均優于其它兩組（P＜0．05），EMS組除遲水量外，其餘各項指標與氣壓彈道組比較差異無顯著性（P ＞0．05）。【結論】鈥激光治療複雜性膀胱結石可有效避免術中結石漂移、遲水過多，減少膀胱損傷、術後膀胱痙攣和術後住院日。
【목적】탐토삼충쇄석술치료복잡성방광결석적개치。【방법】분석본원수치적126례복잡성방광결석환자수술치료적림상자료，126례중，기중단발결석55례，직경2．5～4．7 cm，다발결석71례，최소경≥1．0 cm；채용기압탄도쇄석33례，서사 EMS공사쇄석청석계통（EMS）초성쇄석51례，화격광치료42례，분별대삼조환자술중충수량、출혈량、수술시간、술후주원시간、방광점막적손상정도급술후방광경련비례진행비교분석。【결과】126례균경뇨도일차성청제결석，무중전수술。화격광조제수술시간교장외，기여각항지표균우우기타량조（P＜0．05），EMS조제충수량외，기여각항지표여기압탄도조비교차이무현저성（P ＞0．05）。【결론】화격광치료복잡성방광결석가유효피면술중결석표이、충수과다，감소방광손상、술후방광경련화술후주원일。
[Obj ective]To explore the value of three kinds of lithotripsy in the treatment of complicated bladder calculi.[Methods]Clinical data of 1 2 6 patients with complicated bladder calculus undergoing surgical treatment in our hospital were analyzed.Among 126 patients,55 patients were single stones with diameter 2.5~4.7cm,and 71 patients were multiple stones with minimum diameter≥1.0cm.Of all patients,33 patients underwent pneumatic lithotripsy,and 5 1 patients underwent ultrasonic lithotripsy by using Swiss EMS sys-tem,and 42 patients underwent holmium laser.Iintraoperative flushing water volume,blood loss,operative time,postoperative hospital stay,bladder mucosal inj ury and postoperative cystospasm ratio were analyzed and compared among 3 groups.[Results]Transurethral bladder calculi of 126 patients were removed for one time. None turned to the operation.Except long operative time in holmium laser group,the other indicators were better than the other groups(P<0.05).Except flushing water volume in EMS group,there was no signifi-cant difference in other indicators between EMS group and pneumatic lithotripsy group(P>0.05).[Conclu-sion]Holmium laser for the treatment of complicated bladder calculi can effectively prevent intraoperative stone drift and too more flushing water,and reduce bladder inj ury,postoperative bladder spasms and postoperative hospital stay.
