肾镜下气压弹道碎石术联合经尿道前列腺电切术治疗前列腺增生并膀胱结石的疗效观察  

The therapeutic effects of nephroscopic pneumatic lithotripsy in combination with transurethral resection of prostate on prostatic hyperplasia complicated by bladder calculi

作　　者：雷宝玉[1] Lei Baoyu(Department of Urology, Heji Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China)

机构地区：[1]长治医学院附属和济医院泌尿外科,山西长治046000

出　　处：《中国实用医刊》2019年第7期65-68,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨肾镜下气压弹道碎石术联合经尿道电切镜治疗前列腺增生并膀胱结石的临床疗效及其对患者预后的影响。方法选取2017年2月至2018年5月在长治医学院附属和济医院进行治疗的前列腺增生并膀胱结石患者130例,将其随机分为研究组及常规组,每组65例。常规组行经尿道前列腺电切术联合耻骨小切口切开取石治疗,研究组行经尿道前列腺电切术联合肾镜下气压弹道碎石术治疗。比较两组手术及住院情况、治疗前后国际前列腺症状评分(IPSS)及视觉模拟评分法(VAS)评分、最大尿流率(Qmax)、残余尿量(RUV)、治疗前及治疗后6个月患者的生活质量。结果研究组手术时间、术中出血量、留置管拔除时间、膀胱冲洗时间及住院时间均少于常规组(P均<0.05);治疗后,两组患者IPSS评分及VAS评分均有改善,研究组VAS评分为(2.36±0.59)分,优于常规组的(4.43±0.98)分(P<0.05);治疗后,两组Qmax及RUV水平均有改善,但两组比较差异未见统计学意义(P>0.05);治疗后6个月,两组生活质量评分均有显著提高,且研究组各项生活质量评分优于常规组(P<0.05)。结论与常规经尿道前列腺电切术联合耻骨小切口切开取石术相比,采用经尿道前列腺电切术联合肾镜下气压弹道碎石术对前列腺增生合并膀胱结石患者进行治疗,能够得到与前者相同的治疗效果,并能够显著降低治疗对患者造成的损伤,促进患者术后机体的恢复,对改善患者预后具有重要意义,值得推广。Objective To observe the therapeutic effects of nephroscopic pneumatic lithotripsy in combination with transurethral resection of prostate on prostatic hyperplasia complicated by bladder calculi. Methods A total of 130 patients with prostatic hyperplasia and bladder calculi treated in Heji Hospital Affiliated to Changzhi Medical College from February 2017 to May 2018 were selected and randomly divided into study group and conventional group, with 65 cases in each group. Patients in conventional group were treated by transurethral resection of the prostate and mini-incision pubic lithotomy. While patients in study group underwent transurethral resection of the prostate combined with nephroscopic pneumatic lithotripsy. The operation and hospitalization condition, international prostate symptom score (IPSS) and visual analogue scale (VAS) scores before and after treatment, maximum of urinary flow rate (Qmax), residual urine volume (RUV) and quality of life prior to and 6 months after treatment were compared between the two groups. Results In study group, the operation time, intraoperative blood loss, indwelling tube removal time, bladder irrigation time and hospital stay were significantly superioy to those in conventional group (P<0.05). After treatment, the IPSS and VAS score of both groups were improved. The VAS score of study group was 2.36±0.59, which was significantly better than that in conventional group (4.43±0.98), P<0.05. The two groups had significantly improved Qmax and RUV levels after treatment (P>0.05). Their quality of life scores were significantly improved 6 months after treatment, and the quality of life scores of study group were significantly better than those of conventional group (P<0.05). Conclusions Compared with conventional transurethral resection of the prostate combined with mini-incision pubic lithotomy, transurethral resection of the prostate combined with nephroscopic pneumatic lithotripsy in the treatment of prostatic hyperplasia complicated by bladder calculi has similar curative

关 键 词：耻骨小切口切开取石 肾镜下气压弹道碎石术 前列腺增生 膀胱结石 

分 类 号：R699[医药卫生—泌尿科学]