【摘要】 目的探讨高危前列腺增生合并膀胱结石安全有效的治疗方法。方法回顾性分析2000年1月至2010年6月就诊我科的高危前列腺增生合并中等大小膀胱结石(4～10cm2)82例患者的临床资料:对照组42例采用经尿道气压弹道碎石术联合经尿道前列腺汽化电切术(TUVP-TURP),研究组40例采用经皮膀胱镜弹道碎石联合经尿道前列腺汽化电切术,对两组患者的手术时间、术中出血量、并发症和术后随访情况等进行分析比较。结果研究组手术时间和出血量明显少于对照组(P<0.05),两组并发症、术后随访IPSS评分和最大尿流率无明显差别(P>0.05)。研究组电切综合征的发生率明显低于对照组(P<0.05),而两组患者前列腺包膜穿孔、尿失禁、输尿管口损伤、出血和周围脏器损伤等并发症的发生率无明显差异(P>0.05)。结论 TUVP-TURP联合经皮气压弹道碎石是治疗高危前列腺增生合并中等大小膀胱结石的一种安全有效的方法。更多还原

【Abstract】 Objective To evaluate the safty and efficiency of transurethral vaporization resection of prostate (TUVP-TURP) and percutaneous pneumatic lithotripsy for high risk patients with benign prostate hyperplasia (BPH) and bladder stones. Methods The clinic data of 82 high risk patients from our department from Jan. 2000 to June. 2010 with BPH and medium size (4-10 cm2) bladder stone were retrospectively analyzed. The control group of 42 patients were treated by TUVP-TURP and transurethral pneumatic lithotripsy. The treated group of 40 patients were treated by transurethral vaporization-resection of prostate and percataneous pneumatic lithotripsy. Then we compared the operation time, transoperative blood loss, complications of two groups and follow-up. Results There was significant difference in operation time and transoperative blood loss, The operation time of the treated group was shorter than the control(P<0.05), and the transoperative blood loss of the treated group was less(P<0.05). There was no significant difference in postoperative IPSS scores and maximum rate of flow(P>0.05). The incidence of transurethral resection syndrome of the treated group was less than the control group. There was no significant difference in incidence of capsula prostatical perforation, incontinence, injury of ureteral orifice, bleeding and arounding organ injury. Conclusion Simutaneous TUVP-TURP and percutaneous pneumatic lithotripsy is safe and effective for treatment of high risk patients with BPH and bladder stone.更多还原