微创联合疗法对前列腺增生合并膀胱结石致膀胱损伤患者的疗效分析  

Analysis of the Curative Effect of Minimally Invasive Combined Therapy on the Patients with Prostatic Hyperplasia Complicated with Bladder Calculi and Bladder Injury

作　　者：赵骥 ZHAO ji(Department of Urology,Zibo Zichuan District Hospital,Zibo 255000,China)

机构地区：[1]山东省淄博市淄川区医院泌尿外科,山东淄博255000

出　　处：《中国伤残医学》2025年第7期10-13,27,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨微创联合疗法对前列腺增生合并膀胱结石致膀胱损伤患者的治疗效果。方法:回顾性分析2021年2月—2024年7月淄博市淄川区医院收治的87例前列腺增生合并膀胱结石致膀胱损伤患者的资料,根据治疗方法的不同将患者分为对照组(n=43)和研究组(n=44)。对照组采用传统开放手术治疗,研究组采用微创联合疗法治疗。比较两组治疗效果、疼痛程度、生活质量、并发症发生情况、临床指标、术后恢复情况。结果:研究组治疗总有效率为97.73%,高于对照组的81.40%,差异有统计学意义(P<0.05)。术后1个月,研究组疼痛视觉模拟评分低于对照组,生活质量综合评定问卷-74评分高于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.27%,低于对照组的18.60%,差异有统计学意义(P<0.05)。研究组手术时间及住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。术后1个月,研究组最大尿流率及平均尿流率均快于对照组,国际前列腺症状评分及膀胱残余尿量均低于对照组,差异均有统计学意义(P<0.05)。结论:前列腺增生合并膀胱结石致膀胱损伤患者采用微创联合手术,可提升疗效,改善患者临床指标及术后恢复情况,降低并发症发生率,缓解疼痛感,提升患者生活质量。Objective:To investigate the effect of minimally invasive combined therapy on the patients with prostate hyperplasia complicated with bladder calculi and bladder injury.Methods:The data of 87 patients with prostatic hyperplasia complicated with bladder stone induced bladder injury admitted to Zibo Zichuan District Hospital from February 2021 to July 2024 were retrospectively analyzed.According to different treatment methods,the patients were divided into a control group(n=43)and a study group(n=44).The control group was treated with traditional open surgery,and the study group was treated with minimally invasive combined therapy.The treatment effect,pain degree,quality of life,complications,clinical indexes and postoperative recovery were compared between the two groups.Results:The total effective rate of the study group was 97.73%,which was higher than 81.40%of the control group,the difference was statistically significant(P<0.05).One months after surgery,the Pain Visual Analogue score of the study group was lower than that of the control group,and the score of Generic Quality of Life Inventory-74 was higher than that of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 2.27%,which was lower than 18.60%in the control group,the difference was statistically significant(P<0.05).The operation time and hospital stay of the study group were shorter than those of the control group,and the amount of blood loss during operation was less than that of the control group,with statistical significance(P<0.05).One months after surgery,the maximum urine flow rate and average urine flow rate of the study group were faster than that of the control group,and the International Prostate Symptom Score and bladder residual urine volume were lower than those of the control group,with statistical significance(P<0.05).Conclusion:In patients with bladder injury caused by prostatic hyperplasia combined with bladder stones,minimally invasive combined surgery can improve the curativ

关 键 词：前列腺增生 膀胱结石 膀胱损伤 微创联合治疗 治疗效果 

分 类 号：R65[医药卫生—外科学]