肾镜联合前列腺电切镜在膀胱结石治疗中的应用.docVIP

精品论文 参考文献 肾镜联合前列腺电切镜在膀胱结石治疗中的应用 付奎 万扬 　　（四川省乐至县人民医院泌尿外科 四川 乐至 641500） 　　【摘要】 目的：评估肾镜联合前列腺电切镜在膀胱结石治疗中的优势。方法：随机将40例膀胱结石患者分成单纯肾镜组、肾镜联合前列腺电切镜（简称联合组）组。各组20例，分别使用气压弹道将结石粉碎成小于或等于4毫米大小颗粒。肾镜组自然排石，联合组一次性冲洗、钩出结石。观察膀胱穿孔发生率，尿源性脓毒血症发生率，手术时间，最终排尽结石时间，膀胱残石发生率等指标。结果：肾镜组膀胱穿孔发生率，尿源性脓毒血症发生率，平均手术时间，平均最终排尽结石时间，膀胱残石发生率依次为5%、10%、20plusmn;0.46分钟、15plusmn;0.40天、10%；联合组依次为：0、0、30plusmn;0.78分钟、5plusmn;0.45天、0。结论：肾镜联合前列腺电切镜治疗膀胱结石较单纯肾镜下碎石在膀胱穿孔、尿源性脓毒血症、膀胱残石发生率及最终排尽结石时间方面具有较大优势。 　　【关键词】 肾镜；前列腺电切镜；膀胱结石；气压弹道 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2015）27-0038-02 　　Nephrolithotomy Combined Prostate Resectoscope Treat Bladder Stones 　　Fu Kui Wan Yang.Department of Urology, Lezhi Peoples Hospital, Sichuan Province Sichuan Lezh i 641500 　　【Abstract】Objective Assess the advantages that renal mirror and prostate electricity cut treat bladder stones Methods:40 patients were randomly divided into simple renal Lens, nephrolithotomy combined prostate resectoscope (referred to as the combined group) group. 20 cases in each group, respectively, using pneumatic lithotripsy to crush stones less than or equal to 4 mm particle size. Nephrolithotomy group of natural stone row, the combined group disposable wash, hook the stones. Observed incidence of bladder perforation, urinary-derived sepsis incidence, operative time, time eventually drained stones, bladder residual rates and other indicators.Results Nephrolithotomy group the incidence of bladder perforation, urinary-derived sepsis incidence, mean operation time, average time eventually drained stones, bladder residual rates were 5%, 10%, 20plusmn;0.46 minutes, 15plusmn;0.40 days, 10%; combination group were: 0,0,30plusmn;0.78 minutes, 5plusmn;0.45 days and 0.Conclusion: Nephrolithotomy combined prostate transurethral resection in treatment of bladder stones has a large advantage in the bladder perforation, urinary-derived sepsis, bladder residual rate and timing of the final drained stones than a simple mir