输尿管镜气压弹道碎石治疗膀胱结石中器械联合应用及改良(附30 例报告).pdfVIP

of Medical ·152· 沈阳医学院学报JournalShenyang 输尿管镜气压弹道碎石治疗膀胱结石中器械联合应用及改良 (附30例报告) 周洪革，李旭东，邱国战，石超，张洋 (沈阳医学院奉天医院泌尿外科，辽宁沈阳110024) [摘要]目的：探讨输尿管镜气压弹道碎石术治疗膀胱结石的新方法。方法：等离子电切镜直视下进入膀胱，上自制硅胶 水封，输尿管镜通过水封沿电切镜壳进入膀胱碎石，负压吸引球吸出碎石。结果：本组30例均一次碎石成功，无并发症， 3cm直径以上结石手术时间由原来的2heA_k，现仅用20min。结论：等离子电切镜榆尿管镜气压弹道碎石，自制水封，负 压吸引球的联合应用是处理膀胱结石经济有效的治疗方法。 [关键词]电切镜；输尿管镜气压弹道碎石；水封；膀胱结石 [中图分类号]R694．4[文献标识码]A[文章编号]1008—2344(2010)03—0152—02 ofBladder Ballistic viaOuterSheathof intheTreatment Calculi：Re- Pneumatic Resectoscope Lithotripsy Cases Of30 port ZHOU Guo·zhan，SHICao，ZHANGYang Hong-ge，LIXu·dong，QIU of Affiliatedto Medical 1 10024，China) Urology，Fengtian ShenyangCollege，Shenyang (Dpartment Hospital of a methodof ballistic forthetreatmentbladdercalculi．Meth- new [Abstract】Objective：Toinvestigate pneumaticlithotripsy ballistic or wasinsertedintothebladderviaoutersheathof lithotrip- ods：A resectoscope．Thenpneumatic ureteroscopenephroscope closureandremovebladderstones． casesweletreated w8．8 under to witIIself-made Results：Thirty sy performedendoscopefragment timeof was20mi— in and mean a without perforationoverhydration．Thelithotripsy successfullysingleprocedurebleeding，bladder methodbeeffectvewith and effectthatcouldbeusedinclinic． nutes．Conclusion：This simple，lesscomplicationgood