经皮肾镜气压弹道碎石联合前列腺电切术对良性前列腺增生合并膀胱结石的治疗效果  

Effect of percutaneous nephrolithotomy,pneumatic lithotripsy,transurethral resection of the prostate treatment on benign prostatic hyperplasia combined with bladder stones

作　　者：杜围 白忠原[2] 张新明 何海填 

机构地区：[1]深圳市南山区蛇口人民医院泌尿外科,广东深圳518067 [2]深圳市人民医院泌尿外科,广东深圳518067

出　　处：《中国性科学》2016年第3期17-20,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探究经皮肾镜气压弹道碎石联合前列腺电切术对良性前列腺增生合并膀胱结石的治疗效果。方法:随机选取于2013年6月至2014年12月我院收治的85例前列腺增生合并膀胱结石患者作为本次研究试验对象,根据入院时间先后将患者分成观察组(43例)和对照组(42例),观察组患者采用经皮肾镜下气压弹道碎石术联合前列腺电切术治疗,对照组采用常规手术治疗,观察并记录两组患者临床疗效、术中手术时间、出血量、导尿管留置时间、住院时间、国际前列腺症状评分、最大尿流率和尿残余量等数据,分析比较。结果:观察组患者临床疗效高,总有效率高达100.00%;对照组患者有1例治疗无效,总有效率为97.62%,两组比较无统计学意义(P>0.05)。观察组患者取石时间和总手术时间与对照组相差不大;但术中出血量较少,导尿管留置时间和住院时间都明显较短,两组比较有统计学意义(P<0.05)。两组患者手术后前列腺评分和残余尿量显著下降,最大尿流率明显上升,组间比较无明显差异(P>0.05),但组内比较差异显著(P<0.05)。结论:采用经皮肾镜气压弹道碎石术联合前列腺电切术治疗的前列腺增生合并膀胱结石患者临床疗效较高,患者术中出血量少,术后恢复快,住院时间显著缩短,同时前列腺症状评分较治疗前有显著下降,膀胱功能基本恢复正常水平,有效改善患者临床症状,提高生活质量,值得广泛推荐使用于临床当中。Objectives： To study the effect of percutaneous nephrolithotomy,pneumatic lithotripsy,transurethral resection of the prostate treatment on benign prostatic hyperplasia combined with bladder stones.Methods： 85 cases of benign prostatic hyperplasia combined with bladder stone from June 2013 to December 2014 in our hospital were selected as study subjects. According to admission time,they were divided into observation group（ 43 cases） and control group（ 42 patients）. Observation group was treated with percutaneous nephrolithotomy pneumatic lithotripsy combined with transurethral resection of the prostate treatment and control group was treated with conventional surgery. The clinical efficacy of two groups was observed. Surgery operative time,blood loss,catheterization time,hospital time,IPSS,Qmax and residual urinary volume and other data were recorded,analyzed and compared. Results： Clinical effect of observation group was high,total efficiency of 100. 00%; in control group,there was one case of ineffective treatment,the total effective rate of 97. 62%. The difference between the two groups was not statistically significant（ P〉0. 05）. Calculus removed time and total operation time of observation group and control group had no significant difference; blood loss,indwelling catheter time and hospital stay of observation group were significantly less and shorter,with statistically significant difference（ P〈0. 05）. Postoperative scores of prostate and residual urine volume of two groups decreased significantly. Maximum urinary flow significantly increased. The differences between the two group was not significant（ P〉0. 05）,but the difference in intra- group was significant（ P〈0. 05）. Conclusions： Clinical efficacy of percutaneous nephrolithotomy pneumatic lithotripsy combined with resection of the prostate in the treatment of prostate hyperplasia combined with bladder stones is better with less blood loss,faster recovery time and significantly shorter hospital stay,while prostate

关 键 词：经皮肾镜 气压弹道碎石 前列腺电切术 前列腺增生 膀胱结石 

分 类 号：R697.3[医药卫生—泌尿科学]