多镜联合微创治疗膀胱结石疗效观察及护理

Investigation on cystoscope sheath with resectoscope Holmium laser ureteroscopic treatment of bladder stones and perioperative nursing care

目的 探讨经膀胱镜或电切镜鞘输尿管镜下钬激光碎石治疗膀胱结石的方法、疗效和围手术期护理.方法 2011年1月至2013年1月,103例膀胱结石患者,男性98例,女性5例,年龄57～86岁,平均72.6岁.其中合并前列腺增生的90例,多发结石89例,单发结石14例.经F24膀胱镜鞘或电切镜鞘置入TiansongF8输尿管镜,通过输尿管镜操作通道置入钬激光光纤,将结石粉碎,Ellik冲洗器冲出碎屑.合并有前列腺增生的患者同时行经尿道前列腺电切术,围绕手术给予精心的围手术期护理.结果 103例患者均一次性将膀胱结石粉碎并完全取出,无结石残留.单纯碎石手术时间15～45 min,平均32 min,术中及术后无大出血、膀胱穿孔等并发症.结论 经膀胱镜或电切镜鞘输尿管镜下钬激光碎石治疗膀胱结石视野清晰,碎石效率高,加强围手术期护理能有效降低术后并发症.

Objective To investigate the cystoscope sheath or resectoscope Holmium laser ureteroscopic treatment of bladder stones and perioperative nursing care. Methods From January 2011 to January 2013, 103 patients of bladder stones were treated with holmium laser lithoclasty by cystoscope or resectoscope. 98 male and 5 female, aged 57 - 86 years, mean 72.6 years old. Of which 90 cases with benign prostatic hyperplasia, 89 cases of multiple stones, single stones in 14 cases, bladder lithotomy position taken by the F24 cystoscope or resectoscope sheath into Tiansong F8 ureteroscopy, by ureteroscopic holmium laser fiber operating channel placement, Ellik washed out of the debris. Meanwhile, Patients with benign prostatic hyperplasia accepted transurethral resection of prostate and given careful perioperative nursing care. Results All the patients with bladder stones were treated on one time, no residual stones. Operation time 15 - 45min, an average of 32min, no intraoperative and postoperative severe complications such as perforation of the bladder or bleeding. Conclusions With clear vision, and holmium laser lithotripsy is highly effective. Treatment of bladder stones with holmium laser lithoclasty by cystoscope or resectoscope sheath ureteroscopic lithotripsy. Enhanced perioperative nursing care can effectively reduce the incidence of postoperative complications.