同期手术治疗前列腺增生合并膀胱结石的临床研究  

Simultaneous surgical treatment of prostatic hyperplasia complicated with bladder stones

作　　者：李剑军[1] 陈统权 党永辉[1] 黄星华[1] 吴上超 

机构地区：[1]广东省深圳市龙岗区人民医院泌尿外科,广东深圳518000

出　　处：《中国医学工程》2017年第10期22-24,共3页China Medical Engineering

摘　　要：目的探讨同期手术治疗前列腺增生合并膀胱结石中的安全性及效果分析。方法以该院2015年12月‐2016年6月收治的64例前列腺增生合并膀胱结石患者为研究对象,根据患者结石大小分别给予不同的术式取石(小切口膀胱切开取石、电切镜电切环把结石钩出和气压弹道碎石),再行经尿道前列腺电切术治疗前列腺增生。术后随访6个月,应用生活质量评分(QOL)及前列腺症状国际评分(IPSS)评价手术治疗效果,对比患者生活质量前后QOL、IPSS情况;统计所有患者不良反应发生情况(大出血、膀胱穿孔、暂时性尿失禁、尿道狭窄以及结石复发)和患者自身恢复情况(肠胃功能恢复时间、住院时间),并观察同期手术的安全性。结果术后6个月的QOL及IPSS显著低于术前(P<0.05);术后1例患者出现暂时性尿失禁,3例患者出现尿道狭窄;所有患者术中均无大出血、膀胱穿孔以及结石复发等恶性不良反应发生;肠胃功能恢复时间(1.8±0.2)d,住院时间(7.5±1.0)d。结论同期手术治疗前列腺增生合并膀胱结石中的安全性及效果显著,术后恢复较快,不良反应发生率较低,对提高生活质量具有重要意义,值得临床推广。【Objective】To investigate the safety and effect of simultaneous surgical treatment for prostatic hyperplasia and bladder stones.【Methods】Sixty-four cases of prostatic hyperplasia complicated with bladder stones who were treated in our hospital from December 2015 to June 2016 were treated as the research object, according to different stone sizes, the patients were given different types of surgery respectively（small incision lithotomy, electricity cut mirror ring hook, the stone lithotripsy）, and prostate hyperplasia was treated by transurethral resection of the prostate. After 6 months of follow-up, with the quality of life score（QOL） and the International Prostate Symptom Score（IPSS） to evaluate the surgical treatment effect, IPSS and QOL were compared before and after the occurrence of statistical quality; the adverse reactions of all patients（case bleeding, perforation of the bladder, temporary incontinence, urinary tract stenosis and stone recurrence） and patients self recovery（gastrointestinal function recovery time, hospitalization time）, the efficacy and safety of simultaneous operation were observed.【Results】Six months after operation, QOL and IPSS was significantly lower than that before surgery, the difference was statistically significant（P〈0.05）; 1 case of postoperative patient with temporary urinary incontinence and 3 cases of patients with urethral stricture were found; there were no bleeding, perforation of the bladder, calculi recurrence cases; gastrointestinal function recovery time was（1.8 ± 0.2） days, and hospitalization time was（7.5 ± 1.0） days.【Conclusion】The safety and the effect of simultaneous surgical treatment for prostatic hyperplasia complicated with bladder stones is high and remarkable, with fast postoperative recovery and low incidence of adverse reactions, and it has important significance to improve the quality of life and is worthy of promotion.

关 键 词：同期手术 前列腺增生 膀胱结石 小切口膀胱切开取石 电切镜 

分 类 号：R697.3[医药卫生—泌尿科学] R694.4[医药卫生—外科学]