摘要
目的探讨良性前列腺增生(BPH)合并膀胱结石的治疗方法。方法选择2003年1月～2009年6月62例BPH合并膀胱结石患者,年龄59～86岁,中位年龄69.2岁,病程6个月～5年,中位病程42个月。分别采用开放手术(n=35)和经尿道前列腺切除术(TURP)联合气压弹道碎石术(n=27),比较两组术中、术后情况。结果TURP联合气压弹道碎石术组手术时间为(132.6±31.8)min,明显长于开放手术组[(82.7±15.2)min](P<0.05);开放手术组术中出血量为(245.1±52.6)mL,明显多于TURP联合气压弹道碎石术组[(139.7±34.3)mL](P<0.05);开放手术组膀胱冲冼时间为(124.1±33.7)h,明显长于TURP联合气压弹道碎石术组[(78.3±28.9)h](P<0.05);开放手术组留置导尿管时间为(11.7±1.8)d,明显长于TURP联合气压弹道碎石术组[(5.4±1.5)d](P<0.05);开放手术组术后住院时间为(13.6±2.4)d,明显长于TURP联合气压弹道碎石术组[(7.3±1.8)d](P<0.05)。两组肠功能恢复时间方面的差异无统计学意义。结论与开放手术相比,TURP联合气压弹道碎石术具有创伤小、出血少、恢复快等优点,为BPH合并膀胱结石提供了微创手术的新方式。
Objective To investigate the treatment of benign prostatic hyperplasia （BPH） combined with bladder stones. Methods From January 2003 to June 2009,62 BPH patients combined with bladder stones （aged 59-86 years,median age 69.2 years; courses of 6 months -5 years,median course 42 months） underwent suprapubic lithotomy of the bladder and prostatectomy（n = 35） or combination of transurethral resection of the prostate （TURP） and ballistic lithotripsy （n = 27）. The two techniques were compared with intraoperation and postoperation. Results The operation time in combination of TURP and ballistic lithotripsy [（132.6 ± 31.8） minutes] was obviously longer than suprapubic lithotomy of the bladder and prostatectomy[（82.7 ± 15.2） minutes]（P 〈 0.05）; The blood loss in suprapubic lithotomy of the bladder and prostatectomy[（245.1 ± 52.6） mL] was significantly more than that in combination of TURP and ballistic lithotripsy[（139.7 ± 34.3） mL]（P 〈 0.05）; The bladder washing time in suprapubic lithotomy of the bladder and prostatectomy[（124.1 ± 33.7） hours] was obviously longer than combination of TURP and ballistic lithotripsy[（82.7 ± 15.2） hours]（P 〈 0.05）; The catheter indwelling time in suprapubic lithotomy of the bladder and prostatectomy[（11.7 ± 1.8） days] was obviously longer than that in combination of TURP and ballistic lithotripsy [（5.4 ± 1.5） days] （P 〈 0.05）; The postoperative hospitalization time in suprapubic lithotomy of the bladder and prostatectomy[（13.6 ± 2.4） days] was obviously longer than the combination of TURP and ballistic lithotripsy [（7.3 ± 1.8） days] （P 〈 0.05）. There was no significant difference in the gastro-intestinal function recovery time between 2 groups. Conclusion Comparing with suprapubic lithotomy of the bladder and prostatectomy,the combination of TURP and ballistic lithotripsy has the benefit of less trauma to the patients with less blood loss and quicker recovery. The combination of TURP and ballistic lithotripsy is a new mini-invasive method to BPH combined with bladder stones.
出处
《生物医学工程与临床》
CAS
2010年第1期48-51,共4页
Biomedical Engineering and Clinical Medicine
关键词
良性前列腺增生
膀胱结石
经尿道前列腺切除术
碎石术
benign prostatic hyperplasia
bladder calculi
transurethral resection of the prostate
lithotripsy
