膀胱巨大结石治疗并国内文献复习——附1例报告

目的 探讨膀胱巨大结石的成因、诊断、鉴别诊断及治疗.方法 1例报告和复习国内个案文献,即结石＞5cm,进行分析予以讨论.结果 根据临床表现,体格检查,腹平片,B超等可明确诊断,耻骨上膀胱切开取石是有效的治疗手段.结论 膀胱结石诊断容易,多有明确病因;病因不明者应进一步检查明确病因,以防结石复发.膀胱巨大结石膀胱切开取石效果为佳;术后应充分引流,针对性应用抗菌素治疗,防止并发症发生.

Treatment of giant vesical calculus and national literatures review

To study the etiology, diagnosis, differential diagnosis and treatment of the giant vesical calculi. Methods A report and a literature review of one case with calculus, more than 5cm in diameter, were analysed and discussed. Resultts The definite diagnosis is acquired depending on clinical manifestations, physical examination, plain abdominal radiograph, ultrasound, etc. Suprapubic cystolithotomy is an effective procedure. Conclusion It is easy to diagnosis of vesical stone, that has a definite etiology mostly. Suprapubic cystolithotomy is the best way for giant vesical calculus. Postoperation must be drainage sufficiently and use antibiotic in accordance with germs and prevent complication.