【摘要】 目的探讨前列腺增生症合并膀胱结石的治疗方法。方法分析56例膀胱结石合并前列腺增生症(BPH)患者,行膀胱镜下经尿道前列腺电切术(TURP)加钬激光碎石。结果56例患者手术均获得成功,其中钬激光碎石用时30～180min,平均为62min,术后平均住院日5.8d(3～8d)。术后膀胱结石均完全清除。1例患者术后第一天出现发热,予抗生素治疗好转。有2例患者术后拔除导尿管后出现尿潴留,予重新留置导尿管后恢复正常。术后最大尿流率(Qmax)均大于15ml/s,IPSS为0～8分。随访3～18个月,平均10个月,未有其它并发症。结论同期行膀胱镜下TURP术及钬激光碎石是目前治疗前列腺增生合并膀胱结石患者损伤小,恢复快,疗效可靠的治疗方法。更多还原

【Abstract】 Objective To study the therapeutical method of benign prostatic hyperplasia(BPH)complicated with vesical calculi.Methods Fifty-six cases of BPH with complex vesical calculi were treated with transurethral cystolithotripsy by holmium combining transurethral resection of the prostate(TURP).Results All operations were successful.The median lithotripsy time was62minutes(range30to180).The median postoperative hospitalization was5.8days(range3to8),and complete stone clearance was achieved in all cases.Two patients who developed urinary retention5days postoperatively were successfully treated by temporary transurethral catheterization.One patient developed fever on the first postoperative day and was treated with intravenous antibiotics.Qmax>15ml/s,IPSS was0～8scores.No other complications had oc-curred after a median follow-up of10months(range3to18).Conclusion Simultaneous transurethral cystolithotripsy by holmium and transurethral resection of the prostate appear to be a safe and effective approach for the management of bladder calculi associated with benign prostate hyperplasia.更多还原