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作者用Wolf Riwolth-2135碎石器进行液电震波碎石术,治疗502例膀胱结石患者,碎石533块。患者年龄为18～80岁,男性470例(94％),女性32例(6％)24例(5％)有感染,92例(18％)有前列腺增生,40例(8％)有肾或输尿管结石,14例(3％)有膀胱憩室,332例(66％)无并发症。447例(89％)结石直径为1～3 cm;55例(11％)结石>3 cm,最大结石为3.6×4.8cm;25例(5％)有2块结石。麻醉方式取决于结石大小、硬度及患者全身状况。局麻408次(81％),腰麻83次(16％),骶麻11次(2％)。手术方法:患者置截石位,消毒铺单后扩张尿道,插入手术镜和电极。用100～200ml蒸馏水充盈膀胱,将结石移至三角区后方。仔细检查电极确实超出手术镜端1 cm以上,以免液电震波损坏光学系统。磷酸盐结石可将功率调至Ⅱ档,更坚硬的尿酸结石则需Ⅱ或Ⅲ档。大功率和手
The author used the Wolf Riwolth-2135 lithotripsy lithotripsy, treatment of 502 cases of bladder stones, 533 gravel. The patients were 18 to 80 years old, 470 were males (94%), 32 (6%) were females and 24 (5%) females. 92 (18%) had benign prostatic hyperplasia and 40 (8% Or ureteral stones, bladder diverticulum in 14 cases (3%), and complications in 332 cases (66%). In 447 patients (89%), the diameter of the stone was 1-3 cm; in 55 (11%) stones> 3 cm, the largest was 3.6 × 4.8 cm; in 25 (5%) there were 2 stones. Anesthesia depends on the size of the stone, hardness and the general condition of the patient. There were 408 local anesthesia (81%), 83 (16%) spinal anesthesia and 11 (2%) sacral anesthesia. Surgical methods: patients set lithotomy position, after disinfection paving the expansion of the urethra, surgical lenses and electrodes inserted. With 100 ~ 200ml distilled water filling the bladder, the stones moved to the rear of the triangle. Carefully check the electrode does exceed the end of the surgical mirror more than 1 cm, in order to avoid liquid shock wave damage to the optical system. Phosphate stones can be power transferred to the second file, the more rigid uric acid stones are required Ⅱ or Ⅲ files. Power and hand