微创经皮膀胱取石术(附22例报告)

目的 探讨微创经皮膀胱气压弹道碎石适应症、操作方法、疗效等.方法 回顾我院近两年来采取微创经皮膀胱碎石取石术治疗膀胱结石患者22例的临床资料.结果 22例患者中小儿膀胱结石5例,男性成人17例;小儿结石直径均在2.6cm以上,成人结石直径为2～5cm,多发性结石18例.均一次取尽结石,住院3～8d,平均住院4.5d,术中术后均无严重并发症.结论 微创经皮膀胱碎石取石术适应于复杂性结石的患者,具有取石成功率高,并发症少,操作方法简单、安全之优点.

Minimally invasive percutaneous cystolithotripsy(Reports of 22 cases)

Objective To evaluate the effects and safely of minimally invasive percutaneous cystolithotripsy. Methods The data of 22 patients with cystolith who had undergone Minimally Invasive Percutaneous cystolithotripsy from July 2005 to June 2007 were retrospectively analyzed.Results There were 5 children and 17 men.The mean stone size was 2.6cm in the puerile patients and the stone size of the adult was 2c~5cm.Of the 22 cases,18 had multiple bladder stones.Complete removal of stones was 100% in first attempt. The mean hospital stay was 4.5 days(ranged from 3~8 days ).Severe complications were not occurred in thtra-operative and post operative.Conclusion According to our experience,Minimally Invasive Percutaneous cystolithotripsy is a reasonably safe and a feasible option for the treatment of complicated cystolith.This method is safe,higher rate,easy to be manipulated,and less complication.