经电切镜外鞘输尿管镜下钬激光碎石治疗膀胱结石

目的探讨经电切镜外鞘输尿管镜下钬激光碎石治疗膀胱结石的疗效。方法回顾性分析36例膀胱结石患者,其中单纯膀胱结石11例,合并前列腺增生17例,膀胱颈纤维化2例,尿道外口息肉1例,膀胱感染4例,经尿道前列腺电切术后1例,采用经电切镜外鞘置入输尿管镜下钬激光碎石。结果 36例均一次性击碎清除结石,无膀胱穿孔、大出血、尿道狭窄等并发症。结论经电切镜外鞘输尿管镜下钬激光碎石治疗膀胱结石,具有创伤小、操作简单、手术时间短、并发症少等优点,是一种安全、有效的方法 。

Ureteroscopic Holmium Laser Lithotripsy via the Outer Sheath of Resectoscope for Bladder Calculi

Objective To discuss the effect of ureteroscopic holmium laser lithotripsy via the outer sheath of resectoscope for bladder calculi.Methods 36 bladder calculi patients were performed ureteroscopic holmium laser lithotripsy via the outer sheath of resectoscope.Among them,11 were only bladder calculi,17 were complicated with benign prostate hyperplasia,2 with bladder neck fibrosis,1 with polyps of external urethral orifice,4 with bladder infection,and 1 had operation history of transurethral resection of prostate（TURP）.Results All the 36 cases were cured on one session.No severe complications such as perioperative massive hemorrhage,balladeer perforation and urethral stricture occurred.Conclusion Ureteroscopic holmium laser lithotripsy via the outer sheath of resectoscope is a safe and effective method for bladder stones with the advantages such as minimally invasion,short operative duration and simple operation.