Gu Si-Ping, You Zhi-Yuan, Huang Yunteng, Lu Yi-Jin, He Caohui, Cai Xiao-Dong, Zhou Xiao-Ming
Department of Minimally Invasive Surgery, Shishi City Hospital, Shishi, Fujian 362700;
Exp Ther Med. 2013 Jun;5(6):1627-1630. doi: 10.3892/etm.2013.1047. Epub 2013 Apr 3.
The aim of this study was to investigate the effectiveness of minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy for treating calculus in bladder diverticula. Percutaneous cystostomy with ureteroscopic pneumatic lithotripsy was performed on six elderly male patients with calculi in bladder diverticula, who could not be treated with transurethral ureteroscopic lithotripsy. The stones were successfully removed from all patients, with no complications such as bladder perforation, rupture, urethritis or cystitis. The surgery time was 15-60 min, with an average time of 32 min. Postoperative ultrasound or X-ray examination showed no stone residues and the bladder stoma healed well. No recurrent stones were detected in the follow-up of 3-24 months (average, 16 months). Minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy is a safe, efficient and easy treatment for calculus in bladder diverticula. This method provides a new clinical approach for lithotripsy and we suggest that it is worthy of wider use.
本研究旨在探讨微创经皮膀胱造瘘联合输尿管镜气压弹道碎石术治疗膀胱憩室结石的有效性。对6例因无法行经尿道输尿管镜碎石术治疗的膀胱憩室结石老年男性患者实施了经皮膀胱造瘘联合输尿管镜气压弹道碎石术。所有患者结石均成功取出，未出现膀胱穿孔、破裂、尿道炎或膀胱炎等并发症。手术时间为15 - 60分钟，平均时间为32分钟。术后超声或X线检查显示无结石残留，膀胱造口愈合良好。在3 - 24个月（平均16个月）的随访中未发现结石复发。微创经皮膀胱造瘘联合输尿管镜气压弹道碎石术是治疗膀胱憩室结石的一种安全、高效且简便的方法。该方法为碎石术提供了一种新的临床途径，我们建议值得更广泛应用。
