【摘要】 目的探讨腔内治疗前列腺增生所致膀胱结石的快速有效方法。方法对27例前列腺增生致膀胱结石患者,采用经电切镜外鞘置入肾镜,气压弹道联合超声碎石清石。结果27例均顺利一次性清石。碎石时间4～60min。术中、术后无大出血、膀胱穿孔和水中毒等并发症。术后随访3～15个月,无结石复发和尿道狭窄。结论经电切镜外鞘气压弹道联合超声碎石清石是治疗前列腺增生所致膀胱结石安全、高效的方法。更多还原

【Abstract】 Objective To investigate an effective endoscopic method for the treatment of bladder calculi secondary to benign prostatic hyperplasia.Methods A nephrosope was inserted into the bladder via out sheath of resectoscope. Bladder stones were fragmented and removed with pneumatic ballistic and ultrasound lithotripter under endoscope.Results Stones were completely removed from the bladder on one session in all cases.The mean time of lithotripsy was 4-60 min.No massive haemorrhage,perforation or water intoxication occurred. No recurrence of calculi or urethral stricture was seen during 3-15 months of follow-up.Conclusion Combined pneumatic ballistic and ultrasound lithotripsy via out sheath of resectoscope is effective and safe in the treatment of bladder calculi secondary to benign prostatic hyperplasia.更多还原