下尿路结石512例微创治疗的体会.doc

下尿路结石512例微创治疗的体会
卢桂尧【摘要】 目的 探讨治疗下尿路结石安全、高效的治疗方法。方法 回顾性分析512例下尿路结石的诊治经过,其中膀胱结石405例,尿道结石107例。应用膀胱镜大力钳碎石技术治疗98例下尿路结石患者;采用等离子电切镜外鞘联合输尿管镜直视下气压弹道碎石术治疗153例下尿路结石患者;采用等离子电切镜外鞘联合输尿管镜直视下钬激光碎石术治疗227例下尿路结石患者,采用直接钳夹法治疗34例前尿道结石患者。结果 所有病例一次性治疗成功。碎石时间为10~61 min,术后无明显出血、感染及尿道狭窄等并发症。结论 下尿路结石应根据具体情况选择不同的微创治疗才能具有安全可靠、疗效确切、手术时间短、创伤小、术后恢复快等优点。
【关键词】下尿路结石;内镜技术;大力钳碎石;气压弹道碎石;钬激光碎石
Minimally invasive treatment experience of 512 patients with lower urinary tract stones

LU Gui-rao.Department of Urology Surgery,Sanshui Affiliated Hospital of Guangzhou Medical College,Guangzhou 528100,China
【Abstract】 Objective To explore the safe and effective cure methods of lower urinary tract stones.Methods Retrospectively diagnosis and treatment of 512 patients with lower urinary tract stones,including 405 bladder stone case and 107 urethral calculi case were analyzed. The lower urinary tract stones were treated by the following methods,98 case by vigorously clamp lithotripsy,153 case by pneumatic lithotripsy,227 case by holmium yag laser lithotripsy,34 case by direct clamp lithotripsy. Results All patients succeeded from 10 to 61 minutes one time had no complications,such as hemorrhage,infection,urethral stricture and so on.
Conclusion The patients with lower urinary tract stones should select different minimally invasive treatment depending on the circumstances for safe,effective and quic