摘要
目的:探讨开放手术、钬激光及超声波负压吸引联合气压弹道碎石清石系统在膀胱结石治疗中的临床疗效。方法:回顾性分析我院2006年5月～2009年8月收治104例膀胱结石患者的治疗方法。A组应用膀胱切开取石23例;B组应用钬激光碎石42例;C组应用超声波负压吸引联合气压弹道碎石清石系统碎石39例。分析比较三种方法在膀胱结石治疗中的差异。结果:A、B、C三组碎石清石的操作时间分别为(24.04±3.70)min、(41.88±17.30)min、(34.05±13.03)min,A组显著小于其他两组(P<0.01),C组明显小于B组(P<0.05),随结石长径增大,微创手术组操作时间明显延长。A、B、C三组的住院天数分别为(13.13±4.79)天、(11.38±3.36)天、(9.51±1.72)天,A组明显大于B组(P<0.05)及C组(P<0.01);C组明显小于B组(P<0.05)。A、B、C三组的术后留置导尿时间分别为(7.00±2.54)天、(5.05±1.51)天、(4.03±0.99)天,A组显著大于其他两组(P<0.01),C组显著小于B组(P<0.01)。结论:超声波负压吸引联合气压弹道碎石清石系统在膀胱结石治疗中创伤小,安全,高效,患者恢复快;前列腺增生症并发膀胱结石可应用微创方式治疗;结石长径4 cm以上者可考虑行开放手术。
Objective：To evaluate the clinical efficacy on vesical calculus treated with open surgery, holmium laser, and ultrasonic and pneumatic lithotripsy associated by negative pressure. Methods： A total of 104 patients with bladder stones in our hospital between May 2006 to August 2009 were retrospectively analyzed. The pa- tients, aged from 28 to 64 （44.5±7.4）, were divided into 3 groups. Group A： 23 cases was treated with open surgery; Group B： 42 cases was treated with holmium laser; Group C： 39 cases was treated with ultrasonic and pneumatic lithotripsy associated by negative pressure. The differences in the three methods were compared and an- alyzed in the treatment of bladder stones. Results： The operating time on vesical calculus of group A, 13, C was 24.04±3.70, 41.88±17.30, and 34.05±13.03 minutes. The operating time of group A was significantly shorter than that of group B and C（P〈0.01）, and that of group C was significantly shorter than group B（P〈0.05）. As long diameter of calculi increased, the operating time of minimally invasive surgical treatment prolonged obviously. The hospitalization time of group A, B, C was 13.13±4.79, 11.38±3.36, 9. 51±1.72 days. The hospitalization time of group A was significantly longer than that of group B（P〈0.05） and group C（P〈0.01）, and that of group C was significantly shorter than group B（P〈0.05）. The time of indwelling catheter after operation of group A, B, and C was 7.00±2.54, 5.05±1.51, 4.03±0.99 days. That time of group A was significantly longer than that of group B and group C（P〈0.01）, and that of group C was significantly shorter than group B（P 〈0.01）. Conclusions： The treatment of vesical calculi with ultrasonic and pneumatic lithotripsy associated by negative pressure was mini-invasive, safe, highly effective, and was beneficial for recovery. Minimally invasive therapy can be applied to patients with benign prostatic hyperplasia complicated with bladder stones. Open surgery could be taken into account as long diameter of calculi is more than 4 cm.
出处
《临床泌尿外科杂志》
北大核心
2010年第1期8-10,共3页
Journal of Clinical Urology
关键词
膀胱结石
超声碎石
气压弹道碎石
钬激光
vesical calculus
ultrasonic lithotripsy
pneumatic lithotripsy
holmium laser
