Docimo S G, Orth C R, Schulam P G
The James Buchanan Brady Urological Institute and The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
Tech Urol. 1998 Mar;4(1):43-5.
Percutaneous procedures for the removal of calculi from reconstructed bladders have not been compared in a single institution with traditional open methods. The records of patients undergoing seven percutaneous and six open procedures for the removal of calculi from augmented bladders were reviewed. Operative time, hospitalization time, complications, stone burden, and recurrence were compared. All patients were stone-free at the end of either one or two procedures. Four of six patients in the percutaneous group and four of six patients in the open group had recurrent bladder calculi during average follow-up of 30 months. The average hospital stay was 1.1 days for patients undergoing percutaneous procedures and 3.7 days for those undergoing open cystolithotomy. Narcotic use was significantly lower in the percutaneous group. Percutaneous cystolithotomy is safe, effective, and currently the preferred method for removing stones from an augmented bladder.
在单一机构中，尚未对经皮从重建膀胱中取出结石的手术方法与传统开放手术方法进行比较。回顾了7例接受经皮手术和6例接受开放手术从扩大膀胱中取出结石的患者记录。比较了手术时间、住院时间、并发症、结石负荷和复发情况。所有患者在一次或两次手术后结石均消失。经皮组6例患者中有4例，开放组6例患者中有4例在平均30个月的随访期间出现复发性膀胱结石。接受经皮手术的患者平均住院时间为1.1天，接受开放性膀胱切开取石术的患者平均住院时间为3.7天。经皮组的麻醉药物使用量显著更低。经皮膀胱切开取石术安全、有效，目前是从扩大膀胱中取出结石的首选方法。
