摘要目的: 比较经皮膀胱穿刺超声碎石术(PCCL)与经尿道碎石术(TUCL)在膀胱结石治疗中效果。方法: 回顾性分析60例膀胱结石患者的临床资料,按碎石方式分为PCCL组(n=30)和TUCL组(n=30),比较两组手术时间、术后冲洗时间、住院时间、留置尿管时间、术后并发症及术后3 d、3个月的结石清除率等。结果: PCCL组手术时间短于TUCL组(40.87±11.53)min vs. (46.70±14.05)min,但差异无统计学意义(P=0.084)。两组术后冲洗时间、住院时间、导管留置时间及术后并发症比较均差异无统计学意义(P>0.05)。PCCL组与TUCL组一次结石清除率(70.0% vs. 43.3%)及术后3个月结石清除率(96.7% vs. 80.0%)比较差异有统计学意义。结论: 与TUCL比较,PCCL联合超声碎石术治疗膀胱结石时结石清除率高,值得临床推广应用。
Abstract：Objective: To compare the percutaneous suprapubic ultrasonic lithotripsy (PCCL) and transurethral cystolithotomy (TUCL) for bladder calculus. Methods: A respective analysis on the clinical data of 60 bladder calculus patients was performed, and the patients were divided to PCCL group (n=30) and TUCL group (n=30) with various cystolithotomy administrations. Comparisons were made between two groups in operating time, hospital stay, irrigation time, the duration of catheterization, adverse events rate and stone-free rate at 3rd day or 3rd month post-operation. Results: As compared with TUCL group, the operating time was shortened in PCCL group [(40.87±11.53) min vs. (46.70±14.05) min], however, the difference was not significant (P=0.084). Meanwhile, there were no significant differences in the duration of catheterization, irrigation time, hospital stay, and adverse events rate between two groups (P>0.05). Stone-free rate at 3rd day post-operation (70.0% vs. 43.3%) or at 3rd-month (96.7% vs. 80.0%) was significantly higher in PCCL group than that in TUCL group. Conclusions: Compared with TUCL, PCCL is featured with higher stone-free rate, and is worth popularizing and applying.
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