前列腺增生并膀胱结石的微创治疗(附34例报告)  

The Minimally Invasive Treatment of Benign Prostatic Hyperplasia Combination Vesical Calculus(Report of 34 Cases)

作　　者：王辅[1] 谢强[1] 纪鹏[1] 郭琦[1] 杨亚军[1] 赵彦宗[1] 吴文斌[1] 王国强[1] 

机构地区：[1]天水市第一人民医院泌尿外科,甘肃天水741000

出　　处：《临床泌尿外科杂志》2010年第6期453-454,共2页Journal of Clinical Urology

摘　　要：目的:探讨前列腺增生症(BPH)并膀胱结石的微创治疗方法和疗效。方法:采用分期治疗办法,先在局麻下经尿道采用EMS系统作气压弹道碎石,3天后再行经尿道前列腺电切(TURP)。结果:34例经尿道气压弹道碎石手术时间20～60 min,平均45 min;无膀胱黏膜损伤、膀胱穿孔、泌尿系感染。患者感轻微疼痛但可忍受。其中4例患者术后排尿恢复通畅,予以出院,其余30例行TURP,手术时间20～75 min,平均50 min,术中、术后均未输血,无TUR综合征(TURS)发生。术后持续膀胱冲洗1～2天,术后5天拔除尿管,患者排尿通畅。30例患者随访3个月～2年,术后IPSS评分为(7.5±0.5)分,最大尿流率(MFR)平均>15 ml/s。结论:TURP结合EMS系统气压弹道碎石术是BPH并膀胱结石的一种安全、有效的治疗方法。Objective：To explore the effect of the minimally invasive treatment of benign prostatic hyperplasia （BPH） combination vesical calculus. Methods：Treatment by stage approach, first through the urethra under local anesthesia used in the EMS system for pneumatic lithotripsy, three days after transurethral resection of prostate （TURP）. Results： The time of 34 case of transurethral pneumatic lithotripsy was 20 60 min, the mean time was 45 min. No bladder mucosal injury, bladder perforation, urinary tract infection happened and Patients feel a slight pain but bearable. 4 cases to leave hospital for voiding. 30 cases were treated with transurethral resection of prostate. Operation time was 20-75 min,the mean time was 50 min. No transfusion of blood during or after operation and no TURS happened. The time of continuous bladder irrigation was 1-2 d, catheter was remove after 5 days. All cases voiding. 30 cases were followed up from 3 months to 2 years, IPSS of postoperative was （7. 5 ± 0.5）, MFR〉 15 ml/s. Conclusions： Transurthral resection of prostate combination transurethral pneumatic lithotripsy is a safe,and effective method to treat benign prostatic hyperplasia combination vesical calculus.

关 键 词：前列腺增生 膀胱结石 经尿道前列腺电切术 气压弹道碎石术 

分 类 号：R697[医药卫生—泌尿科学] R694[医药卫生—外科学]