不同微创手术方法治疗膀胱结石的临床研究(1)
[摘要] 目的 比较经膀胱镜气压弹道碎石术与狄激光碎石术治疗膀胱结石的临床效果。 方法 选取本院2014年1月～2015年1月收治的97例膀胱结石患者作为研究对象，按照随机数字表法分为对照组(n=47)与观察组(n=50)。对照组采用膀胱镜气压弹碎石术治疗，观察组采用狄激光碎石术治疗。比较两组的手术持续时间、术中出血量、术后导尿管留置时间、手术并发症发生率及膀胱结石排净率。 结果 观察组的手术持续时间、术后导尿管留置时间显著短于对照组，术中出血量显著少于对照组，差异有统计学意义(P<0.05)。观察组的手术并发症发生率为8.0%，显著低于对照组的27.7%，差异有统计学意义(P<0.05)。观察组的结石排净率为92.0%，显著高于对照组的74.5%，差异有统计学意义(P<0.05)。 结论 狄激光碎石术治疗膀胱镜结石的效果优于气压弹道碎石术，并发症少，术后结石排净率高，值得临床推广应用。
[关键词] 狄激光碎石术 膀胱镜气压弹道碎石术 膀胱结石 对比研究
[中图分类号] R694+.4 [文献标识码] A [文章编号] 1674-4721(2016)03(a)-0077-03
[Abstract] Objective To compared the clinical effect of cystoscope pneumatic ballistic lithotripsy and holmium laser lithotripsy in the treatment of bladder calculi. Methods 97 bladder calculi patients from January 2014 to January 2015 in our hospital were selected and divided into the control group (n=47) and the observation group (n=50) according to the random number table method.The control group was treated with cystoscope pneumatic ballistic lithotripsy，the observation group was treated with holmium laser lithotripsy.The operation sustained time，bleeding during operation，postoperative catheter indwelling time，the incidence rate of postoperative complication and the rate of bladder calculi discharging was compared in the two groups. Results The operation sustained time and postoperative catheter indwelling time in the observation group was shorter than that in the control group，the bleeding during operation in the observation group was less than that in the control group，with significant difference (P<0.05).The incidence rate of surgery complication in the observation group was 8.0%，which was lower than 27.7% in the control group，with significant difference (P<0.05).The rate of bladder calculi discharging in the observation group was 92.0%，which was higher than 74.5% in the control group，with significant difference (P<0.05). Conclusion The effect of holmium laser lithotripsy in the treatment of bladder calculi is better than that of pneumatic ballistic lithotripsy，with little complication but high postoperative calculi net rate，it is worthy of clinical promotion and application.
[Key words] Holmium laser lithotripsy；Cystoscope pneumatic ballistic lithotripsy；Bladder calculi；Comparison study
膀胱结石是常见的泌尿系结石类型，也是泌尿外科常见的疾病之一，发病率为1%～5%[1]。我国是世界泌尿系结石三大高发国家之一，泌尿系结石人群主要分布于50岁以上老年人[2]，并且有明显的性别差异，男女发生率约为10∶1[3]，患者主要以尿频、尿痛、下腹胀痛或肉眼血尿等症状就诊，进而确诊膀胱结石。目前，临床治疗膀胱结石主要依靠微创外科手术治疗，包括经尿道机械碎石术、狄激光碎石术、超声碎石术及气压弹道碎石术等[4-5]。本研究选取目前临床应用较多的狄激光碎石术与气压弹道碎石术进行比较，旨在探讨这两种微创手术方法的临床应用价值。, http://www.100md.com(唐浩 陈松宁 吕王华 罗周岸)
[关键词] 狄激光碎石术 膀胱镜气压弹道碎石术 膀胱结石 对比研究
[中图分类号] R694+.4 [文献标识码] A [文章编号] 1674-4721(2016)03(a)-0077-03
[Abstract] Objective To compared the clinical effect of cystoscope pneumatic ballistic lithotripsy and holmium laser lithotripsy in the treatment of bladder calculi. Methods 97 bladder calculi patients from January 2014 to January 2015 in our hospital were selected and divided into the control group (n=47) and the observation group (n=50) according to the random number table method.The control group was treated with cystoscope pneumatic ballistic lithotripsy，the observation group was treated with holmium laser lithotripsy.The operation sustained time，bleeding during operation，postoperative catheter indwelling time，the incidence rate of postoperative complication and the rate of bladder calculi discharging was compared in the two groups. Results The operation sustained time and postoperative catheter indwelling time in the observation group was shorter than that in the control group，the bleeding during operation in the observation group was less than that in the control group，with significant difference (P<0.05).The incidence rate of surgery complication in the observation group was 8.0%，which was lower than 27.7% in the control group，with significant difference (P<0.05).The rate of bladder calculi discharging in the observation group was 92.0%，which was higher than 74.5% in the control group，with significant difference (P<0.05). Conclusion The effect of holmium laser lithotripsy in the treatment of bladder calculi is better than that of pneumatic ballistic lithotripsy，with little complication but high postoperative calculi net rate，it is worthy of clinical promotion and application.
[Key words] Holmium laser lithotripsy；Cystoscope pneumatic ballistic lithotripsy；Bladder calculi；Comparison study
膀胱结石是常见的泌尿系结石类型，也是泌尿外科常见的疾病之一，发病率为1%～5%[1]。我国是世界泌尿系结石三大高发国家之一，泌尿系结石人群主要分布于50岁以上老年人[2]，并且有明显的性别差异，男女发生率约为10∶1[3]，患者主要以尿频、尿痛、下腹胀痛或肉眼血尿等症状就诊，进而确诊膀胱结石。目前，临床治疗膀胱结石主要依靠微创外科手术治疗，包括经尿道机械碎石术、狄激光碎石术、超声碎石术及气压弹道碎石术等[4-5]。本研究选取目前临床应用较多的狄激光碎石术与气压弹道碎石术进行比较，旨在探讨这两种微创手术方法的临床应用价值。, http://www.100md.com(唐浩 陈松宁 吕王华 罗周岸)