经皮膀胱造口气压弹道碎石术治疗38例结石直径≥2.5 cm膀胱结石患者的临床研究(1)
【摘要】 目的：研究经皮膀胱造口气压弹道碎石术治疗结石直径≥2.5 cm膀胱结石患者的临床效果。方法：将2016年5月-2018年2月笔者所在医院收治的结石直径≥2.5 cm膀胱结石患者76例随机分组，对照组采用经尿道气压弹道碎石术治疗，研究组采用经皮膀胱造口气压弹道碎石术治疗。对比两组临床效果。结果：研究组治疗总有效率(97.37%)高于对照组(78.95%)，差异有统计学意义(P<0.05);研究组手术时间、术中出血量、尿管保留时间、排尿症状消失时间均少于对照组，差异均有统计学意义(P<0.05);研究组术后并发症总发生率(2.63%)低于对照组(15.79%)，但比较差异无统计学意义(P>0.05)。结论：经皮膀胱造口气压弹道碎石术治疗结石直径≥2.5 cm膀胱结石患者的疗效显著，能有效减少术中失血量，缩短手术用时，促进患者康复，安全性高。
【关键词】 膀胱结石; 经皮膀胱造口气压弹道碎石术; 微创手术; 术后康复
doi：10.14033/j.cnki.cfmr.2019.04.009 文献标识码 B 文章编号 1674-6805(2019)04-00-02
Clinical Study of Percutaneous Bladder Stoma and Pneumatic Lithotripsy in Treatment of 38 Patients with Bladder Stones with Diameter ≥2.5 cm
/ZHAO Zheng.//Chinese and Foreign Medical Research，2019，17(4)：-21
【Abstract】 Objective：To research the clinical effect of percutaneous bladder stoma pneumatic lithotripsy in the treatment of bladder stones with
≥2.5 cm calculi.Method：Seventy-six patients with bladder stones with a diameter of ≥2.5 cm of our hospital from May 2016 to February 2018 were randomly divided into two groups. The control group used transurethral pneumatic lithotripsy.The study group used percutaneous bladder stoma and pneumatic lithotripsy.Compare the clinical effects of the two groups.Result：The total effective rate of the study group 97.37% was higher than that of the control group 78.95% (P<0.05).The operation time，intraoperative blood loss，urinary catheter retention time was lower than the study group. The disappearance time of symptoms was less than that of the control group (P<0.05).The total incidence of postoperative complications in the study group 2.63% was lower than 15.79% of the control group，but the difference had no statistic significant (P>0.05).Conclusion：Percutaneous bladder stoma pneumatic lithotripsy is effective in the treatment of patients with bladder stones with a diameter of ≥2.5 cm.It can effectively reduce intraoperative blood loss，shorten the time of surgery，promote the recovery of patients，and have high safety.
【Key words】 Bladder stones; Percutaneous bladder stoma pneumatic lithotripsy; Minimally invasive surgery; Postoperative rehabilitation
First-author’s address：The Second People’s Hospital of Honghe State，Jianshui 654300，China
膀胱結石是泌尿外科常见疾病，好发于中老年男性，主要临床症状为排尿障碍、尿痛、血尿等，严重影响患者身心健康及生活质量[1]。目前，经尿道气压弹道碎石术是临床治疗膀胱结石的常用方法，具有创伤性小、疗效良好、安全可靠等特点，但该手术对较大较硬结石清除效果不佳，且治疗过程中需反复多次钳取结石，可引起尿道及膀胱损伤，不利于术后康复[2-3]。本研究将经皮膀胱造口气压弹道碎石术应用于笔者所在医院结石直径≥2.5 cm膀胱结石患者，旨在研究其临床效果及对患者预后的影响，现报告如下。, http://www.100md.com(赵正)
【关键词】 膀胱结石; 经皮膀胱造口气压弹道碎石术; 微创手术; 术后康复
doi：10.14033/j.cnki.cfmr.2019.04.009 文献标识码 B 文章编号 1674-6805(2019)04-00-02
Clinical Study of Percutaneous Bladder Stoma and Pneumatic Lithotripsy in Treatment of 38 Patients with Bladder Stones with Diameter ≥2.5 cm
/ZHAO Zheng.//Chinese and Foreign Medical Research，2019，17(4)：-21
【Abstract】 Objective：To research the clinical effect of percutaneous bladder stoma pneumatic lithotripsy in the treatment of bladder stones with
≥2.5 cm calculi.Method：Seventy-six patients with bladder stones with a diameter of ≥2.5 cm of our hospital from May 2016 to February 2018 were randomly divided into two groups. The control group used transurethral pneumatic lithotripsy.The study group used percutaneous bladder stoma and pneumatic lithotripsy.Compare the clinical effects of the two groups.Result：The total effective rate of the study group 97.37% was higher than that of the control group 78.95% (P<0.05).The operation time，intraoperative blood loss，urinary catheter retention time was lower than the study group. The disappearance time of symptoms was less than that of the control group (P<0.05).The total incidence of postoperative complications in the study group 2.63% was lower than 15.79% of the control group，but the difference had no statistic significant (P>0.05).Conclusion：Percutaneous bladder stoma pneumatic lithotripsy is effective in the treatment of patients with bladder stones with a diameter of ≥2.5 cm.It can effectively reduce intraoperative blood loss，shorten the time of surgery，promote the recovery of patients，and have high safety.
【Key words】 Bladder stones; Percutaneous bladder stoma pneumatic lithotripsy; Minimally invasive surgery; Postoperative rehabilitation
First-author’s address：The Second People’s Hospital of Honghe State，Jianshui 654300，China
膀胱結石是泌尿外科常见疾病，好发于中老年男性，主要临床症状为排尿障碍、尿痛、血尿等，严重影响患者身心健康及生活质量[1]。目前，经尿道气压弹道碎石术是临床治疗膀胱结石的常用方法，具有创伤性小、疗效良好、安全可靠等特点，但该手术对较大较硬结石清除效果不佳，且治疗过程中需反复多次钳取结石，可引起尿道及膀胱损伤，不利于术后康复[2-3]。本研究将经皮膀胱造口气压弹道碎石术应用于笔者所在医院结石直径≥2.5 cm膀胱结石患者，旨在研究其临床效果及对患者预后的影响，现报告如下。, http://www.100md.com(赵正)