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输尿管镜气压弹道碎石治疗膀胱结石中器械联合应用及改良(附30例报告) 被引量:4

Pneumatic Ballistic Lithotripsy via Outer Sheath of Resectoscope in the Treatment of Bladder Calculi:Report of 30 Cases
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摘要 目的:探讨输尿管镜气压弹道碎石术治疗膀胱结石的新方法。方法:等离子电切镜直视下进入膀胱,上自制硅胶水封,输尿管镜通过水封沿电切镜壳进入膀胱碎石,负压吸引球吸出碎石。结果:本组30例均一次碎石成功,无并发症,3 cm直径以上结石手术时间由原来的2h以上,现仅用20min。结论:等离子电切镜输尿管镜气压弹道碎石,自制水封,负压吸引球的联合应用是处理膀胱结石经济有效的治疗方法。 Objective:To investigate a new method of pneumatic ballistic lithotripsy for the treatment of bladder calculi.Methods:A ureteroscope or nephroscope was inserted into the bladder via outer sheath of resectoscope.Then pneumatic ballistic lithotripsy was performed under endoscope to fragment with self-made closure and remove bladder stones.Results:Thirty cases were treated successfully in a single procedure without bleeding,bladder perforation and overhydration.The mean time of lithotripsy was 20 minutes.Conclusion:This method might be effectve with simple,less complication and good effect that could be used in clinic.
出处 《沈阳医学院学报》 2010年第3期152-153,157,共3页 Journal of Shenyang Medical College
关键词 电切镜 输尿管镜气压弹道碎石 水封 膀胱结石 resectoscope pneumatic ballistic lithotripsy closure bladder calculi
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