双极等离子电切联合下腹部小切口治疗前列腺增生症并发巨大膀胱结石34例  

Bpolar plasmakinetic resction of prostate combined with cystolithotomy via small incision on lower abdomen in the treatment of benign prostatic hyperplasia patients with huge bladder stones: report of 34 cases

作　　者：庞程[1] 杨志坚[1] 吴炳权[1] 何红梅[1] 刘肇华[1] 刘锡海[1] 

机构地区：[1]肇庆市第一人民医院泌尿外科,广东526040

出　　处：《中国临床新医学》2014年第12期1147-1149,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的：探讨治疗前列腺增生症（ BPH）并发巨大膀胱结石的有效方法。方法回顾分析34例采用经尿道等离子前列腺电切（ TPKRP）联合下腹部小切口膀胱切开取石术治疗BPH并发巨大膀胱结石的临床资料。结果全组34例均顺利完成手术，等离子前列腺电切50～108 min，平均72 min。耻骨上膀胱切开取石20～45 min，平均38 min。术中出血量约150～250 ml，平均215 ml，未出现严重并发症病例。随访2～24个月，术后国际前列腺症状评分（IPSS）平均6．6分，生活质量评分（QOL）平均1．8分，平均尿流率（AFR）13．8 ml／s。结论双极等离子电切联合下腹部小切口治疗BPH并发巨大膀胱结石是一种安全、高效、低费用的术式，适合基层医院推广应用。Objective To explore the effective methods to treat benign prostatic hyperplasia （BPH） patients with huge bladder stones .Methods The data of 34 BPH patients with huge bladder stone who were treated by tran-surethral plasmakinetic resection of prostate （ TPKRP） combined with cystolithotomy via small incision on the lower abdomen were retrospectively analyzed .Results The operations were successfully completed in all 30 patients.TP-KRP time was 50-108 min, with a mean time of 72 min.The time of suprapubic bladder lithotomy 20-45 min, the mean time of 38 min.Intraoperative blood loss was about 150 -250 ml, with an average 215 ml.There were no ca-ses of serious complications .The patients were followed up for 2 to 24 months.The average score of International Prostate Symptom Score（IPSS） was 6.6 points.The average score of quality of life （QOL） was 1.8 points.The aver-age flow rate（ AFR） was 13.8 ml/s.Conclusion Bipolar plasmakinetic resection of prostate combined with cysto-lithotomy via small incision on lower abdomen in the treatment of BHP patients with huge bladder stones is a safe ,effi-cient and saving surgery , and is suitable for popularization and application in primary hospitals .

关 键 词：前列腺增生症 膀胱结石 双极等离子电切术 膀胱切开取石 

分 类 号：R69[医药卫生—泌尿科学]