改良肾镜联合前列腺电切镜同期处理前列腺增生症合并膀胱结石（附28例报告）

目的探讨肾镜改良后联合电切镜鞘经尿道同期治疗前列腺增生合并膀胱结石的临床疗效。方法将肾镜改良后与电切镜结合,应用气压弹道碎石或超声碎石清石系统,同期处理前列腺增生和膀胱结石。结果治疗28例大小不等的膀胱结石,均一期完成,治愈率100%,术中视野清晰,没有因膀胱胀满结石移位或反复放出膀胱内液体而影响手术进度。结论将标准肾镜改良后结合前列腺电切镜设备,同期处理前列腺增生症合并膀胱结石,方法简便,取材容易,低压下操作安全可靠,手术时间缩短,降低并发症发生的风险,可进一步减轻患者的创伤,是一种容易推广的治疗措施。

Treatment of Benign Prostatic Hyperplasia and Bladder Calcili In the Same Period using improved nephroscopic joint vaporization resectoscope

Objective To investigate the efficacy of treatment of benign prostatic hyperplasia and bladder calcili using improved nephroscopic joint vaporization resectoscope outer sheath.Methods Treatment of benign prostatic hyperplasia and bladder calcili in the same period Using expedient improved nephroscopic with existing medical equipment combined with resectoscope outer sheath and pneumatic ballistic lithotripsy or ultrasound lithotripsy.Results Stones were removed from bladder on one session in 28 cases,cure rate was 100%, During the operation,the clear vision prevent negative impact of operation process,NO stones shifting and bladder distention.Conclusion Operation method of treatment of benign prostatic hyperplasia and bladder calculus using improved standard nephroscopic combined with resectoscope equipment has the adventages of manageable, easy to fetch materials,safe and reliable operation in the lower pressure,can greatly shorten the time of surgery, reduce risk of complications and further reduce invasion,is a kind of treatment worth applying widely.