经尿道持续冲洗镜鞘联合钬激光一期碎膀胱巨大结石的效果观察.pdfVIP

. 1502. 中国医药2015 年 10 月第 10 卷第 10 期 China Medicine. October 2015 , Vol. 10 , No. 10 .论著· 经尿道持续冲洗镜黯联合钦激光一期 碎膀脱巨大结石的效果观察 梁志强伍世杰莫逊洪家文徐托冯树开王军谭增光 [摘要] 目的 探讨经尿道持续冲洗镜鞠联合钦激光一期碎膀胧巨大结石的效果。方法 选取 2010 年3 月至2014 年2 月于广东省阳江市阳东区人民医院治疗的23 例膀肮巨大结石患者，经尿道置人前 列腺电切镜鞠进行持续冲洗膀脏，钦激光光纤从电切攀通道置入碎石。其中 17 例合并良性前列腺增生患 者同期行经尿道前列腺切除术(TURP) 。结果 23 例患者均手术成功，→期膀脱巨大结石清除率为 1 ∞%，平均碎石时间为(56. 0 :l: 2. 3) mino 6 例行经尿道碎膀脱结石手术患者，术后拔尿管时间为(2. ∞± 0.21) d ， 17 例同期行经尿道碎膀肮结石及TU盯患者，术后拔尿管时间为(5. ∞:l: 0. 39)do 23 例患者均未 发生大出血、前列腺电切综合征、膀眈穿孔及服毒血症等围术期并发症，随访3 -15 个月均元结石复发及尿 道狭窄等严重并发症。结论 经尿道持续冲洗镜鞠联合钦激光碎膀脱巨大结石，应用高功率钦激光及大 通道镜鞠，碎石速度快，残余结石取净率高，术中视野持续清晰，手术时间短，合并良性前列腺增生同期行 TURP，安全、微创。 [关键词] 膀眈巨大结石; 经尿道前列腺切除术; 持续冲洗: 钦激光 [申图分类号] R 694 [文献标识码] A EtTect of transurethral endoscopic sheath continuous irrigation combined with holmium laser Iithotripsy during one stage tr四tment of huge bladder ca1culi Liα略 Zhiqiang ， Wu Shijie , Mo Xun , Hong Jiau隅， Xu Tuo , Feng Shukai , Wα， ng Jun , Tan Zengguang. Department 01 Urology , District People s Hospital 01 Yangdong , Guangdong Province , Yangjiang 529900 , China Corresponding αuthor: Liang Zhiqiαng ， Email: 2358362118@ [ Abstract] Objective To investigate the effect of transurethral endoscopic sheath continuous írrigation combined with holmium laser lithotripsy on one stage treatment of huge bladder calculi. Methods Totally 23 patients with bladder large calculi from March 2010 to February 2014 were enrolled. Continuous bladder irriga- tion was performed after transurethral resectoscope sheath placement and the bladder gravels were broken by holmi- um laser optical fiber from transurethral channel placement. Concomítant transurethral resection of prostate (TURP) was performed in 17 cases complicated with benign prostate hyperplasia (BPH). Results One st