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