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触觉碎石术——安全且高效。

Tactile litholapaxy--safe and efficient.

作者信息

Hadley H L, Barnes R W, Rosenquist R C

出版信息

Urology. 1977 Mar;9(3):263-5. doi: 10.1016/0090-4295(77)90341-7.

DOI:10.1016/0090-4295(77)90341-7
PMID:841799
Abstract

Tactile litholapaxy is a safe procedure and is not difficult to learn. It can be used for stones up to 5 cm. in diameter unless the stone is very hard. The bladder is distended with irrigating fluid, the lithotrite passed, the jaws opened, and the lower jaw depressed against the floor of the bladder and vibrated to allow the stone to roll on to it. The upper jaw is depressed against the stone, the threads at the handle are meshed, and the stone is crushed. Fragments are crushed in like manner and are then washed out through a resectoscope sheath. It is easier to do and more efficient in both length of operating time, absence of complications, and shorter hospital stay when compared with visual litholapaxy and cystolithotomy.

摘要

触觉碎石术是一种安全的手术,且不难掌握。它可用于直径达5厘米的结石,除非结石非常坚硬。用冲洗液充盈膀胱,插入碎石器,张开钳口,将下颌压向膀胱底部并振动,使结石滚到上面。将上颌压向结石,啮合手柄处的螺纹,粉碎结石。以同样的方式粉碎碎片,然后通过电切镜鞘冲洗出来。与直视碎石术和膀胱切开取石术相比,它操作更简便,手术时间短,无并发症,住院时间也更短。

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