摘要
目的比较经尿道大力碎石钳和钬激光在BPH合并膀胱结石中碎石的疗效和安全性。方法把BPH合并膀胱结石73例分为两组,A组38例用大力碎石钳碎石后联合经尿道前列腺电切或经尿道前列腺电汽化术治疗。B组35例经尿道钬激光碎石后联合经尿道前列腺等离子双极电切治疗,对2组术中、术后并发症和碎石效果进行比较。结果 A组前列腺或膀胱损伤5例,碎石失败3例。术后尿道狭窄3例,碎石成功率为79.0%(30/38),B组无术中并发症,35例全部碎石成功(35/35),术后尿道外口狭窄1例。A组与B组的碎石成功率比较差异有显著性(P<0.05)。结论经尿道钬激光碎石联合经尿道前列腺等离子双极电切治疗BPH合并膀胱结石是一种安全.高效的方法。
[Objective] To compare the therapeutic effect and safety of transurethral lithotrite and Ho：YAG laser lithotripsy in treating BPH complicated with bladder stones.[Method] We divided a total of 73 cases of BPH complicated with bladder stones into 2 groups.In group A,38 cases were performed of lithotrite lithotripsy combined with TURP or TUVP;in group B,35 cases received Ho：YAG combined with bipolar plasmakinetic prostatectomy,we compared the complication and effect of lithotripsy in and,after operation.[Result] In group A,prostate and bladder neck injury happened in 5 cases,failure of lithotripsy are 3 cases,another 3 cases had urethral stricture post-operation,the achievement ratio is 79.0%（30/38）;As in group B,there is no complication in the period of operation,all 35 cases succeeded in smashing the stones,only one case present urethral orifice stricture.The achievement ratio between group A and B had statistical significance（P 0.05）.[Conclusion] It is a safe and effective way to treat BPH complicated with bladder stones by transurethral HO：YAG laser lithotripsy.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第9期966-968,共3页
China Journal of Endoscopy
关键词
膀胱结石
前列腺增生
碎石钳
钬激光
bladder stones
benign prostatic hyperplasia
lithotrite
Ho：YAG laser
