肾镜联合电切器械气压弹道碎石治疗膀胱结石

目的探讨肾镜联合电切器械气压弹道碎石治疗膀胱结石的疗效。方法回顾性分析江苏省如皋市博爱医院2013年1月至2015年1月收治45例膀胱结石患者的临床资料,对全部患者均应用肾镜、电切镜鞘组合,利用电切环勾取结石、气压弹道碎石、Ellick冲洗器冲出结石的方法治疗。结果 45例均获得成功,无结石残留、无膀胱大出血、膀胱穿孔、感染性休克等并发症。手术时间5~60分钟,平均25分钟。结论肾镜联合电切器械气压弹道碎石治疗膀胱结石安全、高效,是治疗膀胱结石的有效方法。

Pneumatic Ballistic Lithotripsy for Bladder Calculi by Nephroscope Combined with Resectoscope

Objective To investigate and discuss the efficacy of pneumatic ballistic lithotripsy for bladder calculi by nephroscope combined with resectoscope (electric cutting instrument). Methods A total of 45 patients who had suffered from the bladder calculi were admitted and treated in Boai Hospital between January 2013 and January 2015,whose clinical data were retrospectively analyzed. All of them received therapies of fetching cal-culi by electric cutting ring,pneumatic ballistic lithotripsy,Ellick irrigator rushing out of calculi,via the ne-phroscope and outer sheath of resectoscope combinations. Results All 45 cases went successfully without calculi remnants,no complications were occurred,such as bladder bleeding,bladder perforation and septic shock,etc. The duration of operation was 5~60 minutes,25 minutes in average. Conclusions The pneumatic ballistic litho-tripsy for bladder calculi by nephroscope combined with resectoscope is safe and efficient,which is an effective method in treating the bladder calcui.