Comparison of the Clinical Effects of Small Suprapubic Incision Cystolithotomy and Transurethral Holmium Laser Lithotripsy in the Treatment of Large Bladder Stones
ZHOU Ke-bin, LIN Jia-wei, ZHAO Liu-cun
Department of Urology,Xi'an Ninth Hospital,Xi'an Shaanxi 710054
Abstract：【Objective】To compare the clinical effects of small suprapubic incision cystolithotomy and transurethral holmium laser lithotripsy in the treatment of large bladder stones. 【Methods】A total of 94 male patients with large bladder stones admitted to our hospital from October 2018 to October 2020 were retrospectively analyzed. According to different treatment methods, they were divided into observation group (small suprapubic incision cystolithotomy) and control group (transurethral holmium laser lithotripsy). The operation condition, VAS score, VRS score, maximum urine flow rate, residual urine volume and postoperative complication rate were compared between the two groups. 【Results】The lithotripsy time and operation time in the observation group were shorter than those in the control group (P<0.05); There was no significant difference between the two groups (P>0.05). The VAS score and VRS score of the two groups were lower than that before operation, and that of the observation group was lower than that of the control group (P<0.05). The maximum postoperative urine flow rate of the two groups was higher than that before operation, and the residual urine volume was lower than that before operation. The difference between the observation group and the control group was statistically significant (P<0.05). The incidence of postoperative stone residue and hypothermia in the observation group was lower than that in the control group (P<0.05). 【Conclusion】Compared with transurethral holmium laser lithotripsy, small suprapubic incision cystolithotomy has more advantages in the treatment of large bladder calculi. The operation time is shorter, the pain of patients can be effectively reduced, and the incidence of complications can be reduced. It is worth popularizing.
周克斌, 林佳伟, 赵留存. 耻骨上小切口膀胱切开取石术与经尿道钬激光碎石取石术治疗大膀胱结石的临床疗效比较[J]. 医学临床研究, 2022, 39(8): 1232-1234.
ZHOU Ke-bin, LIN Jia-wei, ZHAO Liu-cun. Comparison of the Clinical Effects of Small Suprapubic Incision Cystolithotomy and Transurethral Holmium Laser Lithotripsy in the Treatment of Large Bladder Stones. JOURNAL OF CLINICAL RESEARCH, 2022, 39(8): 1232-1234.
[1] 李树人,郑鸣,蒋庆详,等.Holep联合耻骨上小切口治疗高危良性前列腺增生合并大膀胱结石的疗效[J].中国老年学杂志,2016,36(7):1669-1670.
[2] 吴志荣,李杰,叶朝阳,等.经尿道前列腺腔内剜除术联合钬激光碎石术同期治疗良性前列腺增生合并膀胱结石的临床效果[J].齐齐哈尔医学院学报,2018,39(7):803-805.
[3] ERCIL H,ALTUNKOL A,ALMA E,et al.Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia[J].Asian J Surg,2016,39(4):238-242.
[4] 王恒兵,牛晓兵,傅广波.经尿道等离子分割剜除联合小切口治疗中重度前列腺增生合并膀胱多发结石[J].国际泌尿系统杂志,2018,38(1):39-41.
[5] WU J H,YANG K,LIU Q,et al.Combined usage of Ho:YAG laser with monopolar resectoscope in the treatment of bladder stone and bladder outlet obstruction[J].Pak J Med Sci,2014,30(4):908-913.
[6] 桑海明,郭祯远,孙云,等.经尿道前列腺汽化电切联合耻骨上小切口手术对良性前列腺增生合并大膀胱结石的疗效分析[J].中国医药科学,2017,7(20):189-192.
[7] TELHA K A,ALKOHLANY K,ALNONO I.Extracorporeal shockwave lithotripsy monotherapy for treating patients with bladder stones[J].Arab J Urol,2016,14(3):207-210.
[8] 姚雷,安康,刘鹏.经尿道双极等离子剜除联合耻骨上小切口治疗高危高龄前列腺增生合并膀胱结石患者的临床疗效[J].中国药物经济学,2016,11(8):104-106.
[9] GANGKAK G,YADAV S S,TOMAR V,et al.Pneumatic cystolithotripsy versus holmium:yag laser cystolithotripsy in the treatment of pediatric bladder stones:a prospective randomized study[J].Pediatr Surg Int,2016,32(6):609-614.
[10] 罗建仕,陈光,曾四平,等.经尿道前列腺等离子电切术联合气压弹道碎石术治疗高龄高危前列腺增生并膀胱结石的临床效果[J].现代泌尿外科杂志,2013,18(6):578-581.
[11] YOSHIDA T,KINOSHITA H,NAKAMOTO T,et al.Conservative treatment for benign prostatic hyperplasia in patients with bladder stones[J].Urology,2015,86(3):450-453.
[12] 吴炜嘉,夏昕晖,李梅,等.耻骨上小切口膀胱切开取石联合经尿道前列腺切除术治疗良性前列腺增生症合并膀胱结石的临床研究[J].中国综合临床,2016,32(4):328-331.
2022, Vol. 39 
