等离子电切镜联合超声肾镜一期治疗前列腺增生症合并膀胱结石  

Plasma kinetic vaporization combined with ultrasonic nephroscope treat benign prostatic hyperplasia with bladder stones

作　　者：张楠[1] 马曜辉 赵阳[1] 翟晓磊[1] 单中杰[1] ZHANG Nan MA Yao-hui ZHAO Yang ZHAI Xiao-lei SHAN Zhong-jie(Department of Urology, People＇s Hospital of Zhengzhou, Zhengzhou 450003, Chin)

机构地区：[1]郑州人民医院泌尿外科,河南郑州450003

出　　处：《延安大学学报（医学科学版）》2017年第3期22-24,共3页Journal of Yan'an University:Medical Science Edition

摘　　要：目的探讨等离子电切镜结合超声肾镜经尿道一期治疗前列腺增生症并发膀胱结石的安全性及有效性。方法 2013-06~2015-12郑州人民医院,24例因前列腺增生症并发膀胱结石需要实施手术的连续住院患者,一期行经尿道等离子前列腺电切术及膀胱结石碎石术。比较手术前后I-PSS评分、QOL评分、Qmax、PVR等指标。结果 24例手术均成功完成,结石清除率100%、3例膀胱粘膜损伤、无膀胱穿孔、电切综合征、尿失禁,继发性膀胱出血等并发症。术后平均随访(5.7±3.6)月,无结石复发、尿道狭窄等并发症。术后I-PSS评分、QOL评分、Qmax、PVR等与术前比较,差异有统计学意义,P<0.05。结论等离子电切镜结合超声肾镜一期治疗前列腺增生症并发膀胱结石安全、有效。具有创伤小、效率高、术后恢复快等优点。为前列腺增生症合并膀胱结石患者提供了一种微创治疗选择。Objective To discuss the safety and effectiveness of treatment of benign prostatic hyperplasia with bladder stones by urethra plasma resectoscope combined with ultr-asonic nephroscope. Methods 24 patients with benign prost-atic hyperplasia and bladder stone were operated between June 2013 and December 2015 in the People ＇s hospital of Zhengzhou. 24 cases was treated by transurethral plasmakinetic resection combined with ultrasonic nephrolithotripsy. I-PSS score,QOL score,Qmax and PVR before and after surgery were compared. Results 24 operations were completed successfully,and the mean macadam time was （20. 5 ± 5. 7） min,the mean electronic incision time was （65. 8 ± 18. 5） min,the mean bleeding volume was （125. 8 ± 28. 4） m L,the mean bladder washing time was （1. 4 ± 0. 8） d,the mean indwelling catheter time was （4. 6 ± 1. 7） d. The rate of calculus clearance was 100%. Only3 bladder mucosa was damaged. There were no bladder perforation,transurethral resection syndrome,urinary incontinence,secondary bladder bleeding and other complications occurred. The time of follow-up was （5. 7 ± 3. 6） mon.There were no recurrence of calculus,urethral stricture and other complications occurred. I-PSS score,QOL score,Qmax and PVR compared with preoperative,the difference was statistically significant,P〈0. 05. Conclusions The treatment of benign prostatic hyperplasia and bladder stone with plasma kinetic vaporization and ultrasonic nephroscope was safe and effective and had the advantages of small trauma,high efficiency and fast post operation recovery and supplies a minimally invasive therapy selection to patients with benign prostatic hyperplasia with bladder stones.

关 键 词：前列腺增生 膀胱结石 经尿道前列腺等离子电切术 超声碎石术 

分 类 号：R697[医药卫生—泌尿科学]