经尿道前列腺电切术联合钬激光治疗高龄高危前列腺增生合并膀胱结石的研究  

Study of Transurethral Resection of the Prostate Combined with Holmium Laser in the Treatment of High-risk Prostate Hyperplasia with Bladder Stones in Elderly Patients

作　　者：周增 程勇谋 莫耀良 王晓珊 杨小桢 ZHOU Zeng;CHENG Yongmou;MO Yaoliang;WANG Xiaoshan;YANG Xiaozhen(Department of SurgeryⅠ(Department of Urology),Maoming Hospital of Guangzhou University of Traditional Chinese Medicine(Maoming Hospital of Traditional Chinese Medicine),Maoming 525000,Guangdong,China)

机构地区：[1]广州中医院大学茂名医院(茂名市中医院)外一科(泌尿外科),广东茂名525000

出　　处：《系统医学》2024年第18期133-136,共4页Systems Medicine

基　　金：茂名市科技计划项目(230428114551132)。

摘　　要：目的探讨经尿道前列腺电切术联合钬激光治疗高龄高危前列腺增生合并膀胱结石的疗效。方法非随机选取2023年1月—2024年1月广州中医院大学茂名医院收治的80例高龄高危前列腺增生合并膀胱结石患者为研究对象。按不同手术方式分为两组,每组40例。观察组采用经尿道前列腺电切术联合钬激光治疗,对照组采用经尿道前列腺电切术结合经尿道膀胱结石碎石取石术治疗。比较两组的手术相关指标,血红蛋白、白细胞计数、血清钠,碎石时间以及单次碎石率,国际前列腺症状评分(International Prostate Symptom Score,IPSS)以及并发症发生率。结果观察组手术相关指标优于对照组,血红蛋白、白细胞计数、血清钠优于对照组,差异有统计学意义(P均<0.05)。观察组碎石时间短于对照组,差异有统计学意义(P均<0.05)。观察组单次碎石率高于对照组,差异有统计学意义(P均<0.05)。观察组IPSS评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.50%(1/40),低于对照组的17.50%(7/40),差异有统计学意义(χ^(2)=5.000,P<0.05)。结论采用经尿道前列腺电切术联合钬激光技术治疗高龄高危前列腺增生合并膀胱结石患者,可有效缩减手术时长,提升患者的生活质量,安全性较高。Objective To investigate the effect of transurethral resection of prostate combined with holmium laser in the treatment of elderly sick persons with high risk prostatic hyperplasia complicated with bladder calculus.Methods Eighty cases of elderly high-risk prostatic hyperplasia combined with bladder stones admitted to Maoming Hospital of Guangzhou University of Traditional Chinese Medicine from January 2023 to January 2024 were non-randomly selected as study subjects.They were divided into two groups according to different surgical methods,with forty cases in each group.The observation group was treated with transurethral electrocision of the prostate combined with holmium laser,and the control group was treated with transurethral electrocision of the prostate combined with transurethral cystolith fragmentation and extraction of bladder stones.Surgery-related indexes,hemoglobin,leukocyte count,serum sodium,lithotripsy time and single lithotripsy rate,International Prostate Symptom Score(IPSS)and complication rate were compared between the two groups.Results Surgery-related indexes of the observation group were better than those of the control group,hemoglobin,leukocyte count,and serum sodium were better than those of the control group,and the difference was statistically significant(all P<0.05).The observation group's lithotripsy time was shorter than that of the control group,and the difference were statistically significant(all P<0.05).The single lithotripsy rate of the observation group was higher than that of the control group,and the difference were statistically significant(all P<0.05).The IPSS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The complication rate in the observation group was 2.50%(1/40),which was lower than 17.50%(7/40)in the control group,and the difference was statistically significant(χ^(2)=5.000,P<0.05).Conclusion The use of transurethral electrolysis of the prostate combined with holmium laser technology

关 键 词：前列腺增生 膀胱结石 经尿道前列腺电切术 钬激光 

分 类 号：R699[医药卫生—泌尿科学]