[1]夏强,赖建生,赵国平,等.经尿道电切镜鞘气压弹道碎石术治疗膀胱结石[J].中国微创外科杂志,2008,08(6):537-538.
　Xia Qiang,Lai Jiansheng,Zhao Guoping,et al.Transurethral Pneumatic Ballistic Lithotripsy via Outer Sheath of Ureterorenoscope for Bladder Calculi[J].Chinese Journal of Minimally Invasive Surgery,2008,08(6):537-538.
点击复制

经尿道电切镜鞘气压弹道碎石术治疗膀胱结石()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年6期
页码:
537-538
栏目:
出版日期:
2008-10-31

文章信息/Info

Title:
Transurethral Pneumatic Ballistic Lithotripsy via Outer Sheath of Ureterorenoscope for Bladder Calculi
作者:
夏强; 赖建生; 赵国平; 郑东升; 陈虎
广东省江门市人民医院泌尿外科，江门529050
Author(s):
Xia Qiang;  Lai Jiansheng;  Zhao Guoping;  et al.
Department of Urology, Jiangmen People's Hospital, Jiangmen 529050, China
关键词:
气压弹道碎石; 膀胱结石
Keywords:
Lithotripsy; Bladder calculi
分类号:
R694+.4
文献标志码:
A
摘要:
目的探讨经尿道电切镜鞘气压弹道碎石术治疗膀胱结石的疗效。方法2003年3月~2007年5月，采用经尿道电切镜鞘气压弹道碎石术治疗膀胱结石32例。结果32例均一次手术成功，无中转开放手术。22例合并前列腺增生症碎石后行经尿道前列腺电切术（transurethral prostatectomy，TURP），4例膀胱颈挛缩行膀胱颈电切术，4例尿道狭窄入镜前行尿道扩张，2例单纯行膀胱结石碎石。手术时间25~90 min，（45±25） min，均无结石残留，无膀胱穿孔。术后尿道狭窄1例。结论经尿道电切镜鞘输尿管肾镜气压弹道碎石术治疗膀胱结石具有方法可靠、创伤小、手术并发症少等优点，特别适合于合并前列腺增生者。
Abstract:
ObjectiveTo evaluate the efficacy of transurethral pneumatic ballistic lithotripsy via outer sheath of ureterorenoscope for bladder calculi.MethodsFrom March 2003 to May 2007, 32 patients with bladder calculi were treated by transurethral pneumatic ballistic lithotripsy via outer sheath of ureterorenoscope.ResultsThe operation was completed in all the patients without conversion to open surgery. Transurethral prostatectomy (TURP) was carried out on 22 patients who were complicated with benign prostatic hyperplasia (BPH). Four patients received cystotrachelotomy because of bladderneck contracture, and 4 underwent dilation of the urethra owning to urethral stenosis. Simple pneumatic ballistic lithotripsy was performed on two patients. The operation time was 25 to 90 minutes with a mean of (45±25) minutes. No patient had residual stones or perforation of bladder. One patient developed urethral stenosis after the operation.ConclusionsTransurethral pneumatic ballistic lithotripsy via outer sheath of ureterorenoscope is a safe, less traumatic treatment for patients with bladder calculi with few complications. The method is especially suitable for patients with BPH.

参考文献/References:

[1]吴开俊.浅谈微创泌尿外科的发展.中国微创外科杂志，2007，13（8）：727-729.
[2]周永兴，李永林，李力，等.大力碎石钳结合气压弹道碎石治疗膀胱结石.中国微创外科杂志，2005，5（5）：413-413.
[3]赵勇，朱建坦，唐华，等.肾镜下气压弹道碎石术治疗成人膀胱结石.中国内镜杂志，2006，12(12):1306-1307.
[4]杨林斌,俞增福,蒋振华,等.普通膀胱镜途径气压弹道碎石治疗膀胱结石.临床泌尿外科杂志,2004,19（2）:115-116.
[5]周长春.前列腺增生症并膀胱大结石的非开放手术治疗.中国微创外科杂志,2002,2（3）:182.

更新日期/Last Update: 2013-10-22