联合治疗高危高龄前列腺增生合并膀胱结石患者疗效分析  

Analysis of Combined Treatment for High-risk Benign Prostatic Hyperplasia(BPH) Combined with Bladder Calculi

作　　者：鲍双君 孙松[1] 

机构地区：[1]北京市昌平区中医医院,北京102200

出　　处：《中国医学创新》2014年第13期74-76,共3页Medical Innovation of China

摘　　要：目的:探讨对高危高龄前列腺增生(BPH)合并膀胱结石患者行经尿道双极等离子前列腺剜除(TUPKEP)和耻骨上小切口联合治疗的安全性及有效性。方法:选取本院2011年5月-2013年5月收治的BPH合并膀胱结石患者60例进行研究。按随机数字表法将患者分为观察组和对照组,比较两组的术中及术后情况。结果:观察组的术中出血量显著少于对照组,并发症发生率显著低于对照组,手术时间、膀胱冲洗时间、留置尿管时间、住院时间均显著短于对照组,差异均有统计学意义(P<0.05)。术后3个月,观察组MFR、残余尿量、IPSS、梗阻、QOL评分改善程度较对照组显著,差异均有统计学意义(P<0.05)。结论:TUPKEP联合耻骨上小切口的方式治疗高危高龄前列腺增生(BPH)合并膀胱结石患者,安全性较高,且疗效显著,值得临床推广应用。Objective： To explore the safety and efficacy of transurethral plasmakinetic enucleation of the prostate （TUPKEP） and combination therapy of suprapubic incision for high-risk patients with benign prostatic hyperplasia （BPH） combine bladder calculi transurethral.Method： 60 high-risk patients with BPH combine bladder calculi transurethral in our hospital from May 2011 to May 2013 were selected. the patients were divided into observation group and control group according to random number table method, the intraoperative and postoperative conditions of two groups were compared.Result： The amount of bleeding of the observation group was significantly less than that of the control group, the complication rate was significantly lower than that of the control group, the operation time, bladder irrigation time, indwelling catheter time, hospitalization time were significantly shorter than that of the control group, the difference were statistically significant （P〈0.05）.Conclusion： Use of TUPKEP combined with suprapubic incision approach for treatment of high risk BPH patients complicated with bladder stones, high safety, and significant effect, worthy of clinical application.

关 键 词：前列腺增生 膀胱结石 经尿道双极等离子前列腺剜除 耻骨上小切口 

分 类 号：R699[医药卫生—泌尿科学]