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目的:探讨简便、高效治疗膀胱出口梗阻并发膀胱结石的方法。方法:采用2μm激光操作系统结合钬激光行膀胱结石碎石取石术治疗膀胱出口梗阻并发膀胱结石患者25例。结果:25例均一次成功,无明显出血,无膀胱、尿道损伤,无TURP综合征及严重感染等并发症,结石清除率100%。结论:采用2μm激光操作系统结合钬激光行膀胱结石碎石取石术有术野大而清晰、碎石高效、碎石易冲出、不需反复进退镜鞘及更换窥镜、对膀胱尿道损伤小等优点,是治疗膀胱出口梗阻并发膀胱结石的理想方法。
Objective: To explore a simple and effective treatment of bladder outlet obstruction complicated with bladder stones. Methods: 25 cases of bladder outlet obstruction with bladder stones were treated with 2 μm laser operating system combined with holmium laser lithotripsy. Results: All the 25 cases were successfully treated with no bleeding, no bladder and urethral injury, no complications such as TURP syndrome and severe infection, and the stone clearance rate was 100%. Conclusion: The 2 μm laser operating system combined with holmium laser lithotripsy of bladder stones have large and clear surgical field, high-effective lithotripsy, lithotripsy easy to wash out without repeated retraction sheath and replace the endoscope, bladder and urethral injury and other advantages , Is the ideal method for the treatment of bladder outlet obstruction complicated by bladder stones.