腹腔镜膀胱切开取石术与电切镜下钬激光碎石术治疗复杂膀胱结石的疗效对比

目的 比较腹腔镜膀胱切开取石术与电切镜下钬激光碎石术治疗复杂膀胱结石的临床疗效。方法 选取本院2014年1月至2017年3月期间收治的复杂膀胱结石患者61例，随机分为研究组（29例）和对照组（32例）。研究组施行腹腔镜膀胱切开取石术，对照组施行电切镜下钬激光碎石术，比较两组的手术时间、术后留置尿管时间、住院时间、结石清除率及术后并发症发生率。结果 两组在住院时间、留置尿管时间比较差异无统计学意义（P>0.05）；研究组的手术时间短于对照组（P<0.05），结石清除率高于对照组（P<0.05），而研究组的泌尿系感染、尿道狭窄等并发症的发生率均低于对照组（P<0.05）。结论 腹腔镜膀胱切开取石术治疗多发、较大的膀胱结石效果更明显，具有手术时间短、结石清除率高、并发症少等诸多优点，值得临床广泛应用。

Comparative study of laparoscopic cystolithotomy and electro resectoscopic holmium laser lithotripsy for the treatment of bladder stone

Objective   To compare the clinical efficacy of laparoscopic cystolithotomy and electro-resectoscopic holmium laser lithotripsy for the treatment of bladder stone.Methods  Sixty-one cases with complicated bladder stones in our hospital from January 2014 to March 2017 were chosen.And all patients were randomly divided into the study group (29 cases)and the control group (32 cases).The study group was treated with laparoscopic cystolithotomy,while the control group was treated with electro-resectoscopic holmium laser lithotripsy.The operation time, the time of indwelling catheter, the rate of stone clearance and postoperative complications rate were compared between the two groups.Results   There was no significant difference between the two groups in the time of indwelling catheter and hospitalization（P>0.05）.The operation time of the study group was shorter than that of the control group（P>0.05）. The rate of stone clearance of the study group was higher than that of the control group（P>0.05）. The incidence of urinary tract infection, urethral stricture and other complications in the study group were lower than those in the control group（P>0.05）.Conclusions  The laparoscopic cystolithotomy has many advantages, such as short operation time, less complications, higher stone clearance rate, and so on. It is worthy of clinical application.