摘要
目的探讨高危前列腺增生合并较大膀胱结石的微创治疗效果。方法随机选取我院2008年10月至2012年4月诊治的前列腺增生合并膀胱结石患者75例,经尿道弹道碎石及等离子电切术切除增生的前列腺组织,观察患者术中及术后情况。结果所有患者均为一次性碎石,碎石时间(48.67±8.26)min,前列腺电切时间(51.25±7.33)min,术中出血量少,术后留置尿管平均时间(6.37±2.14)d,术后结石清除率达100%,随访3个月,术后生活质量评分(QOL)、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)等均明显改善,与治疗前比较具有统计学差异(P<0.05)。结论在没有手术禁忌症和充分的术前准备下,经尿道弹道碎石及等离子电切术治疗高危前列腺增生合并膀胱结石的疗效显著,安全性高,术后恢复快,值得基层医院推广。
Objective To investigate the minimally invasive treatment effect of high risk prostatic hyperplasia and bladder calculi. Methods Seventy-five patients with high risk prostatic hyperplasia and bladder calculi in our hospital from October 2008 to April 2012 were selected and treated with transurethral plasmakinetic resection of prostate and lithotripsy. The intraoperative and postoperative conditions were observed. Results All of patients were graveled for one-time, the crushed stone time was （48.67 ± 8.26） min and resection time was （51.25 ± 7.33） min. And it was less amount of bleeding during the operation. The in-dwelling urethral catheter time was （6.37 ± 2.14） d and the rate of stone-free was 100%. Following-up to 3 months, the quality of life （QOL）, international prostate symptom score （IPSS） and maximum flow rate （Qmax） were significantly improved, with a significant difference compared with those before treatment （P 〈0.05）. Conclusions Tansurethral plasmakinetic resection of prostate and lithotripsy is a safe and effective way in treatment of patients with high risk prostatic hyperplasia and bladder calculi, which deserves clinical application in local hospitals.
出处
《临床医学工程》
2013年第1期49-50,共2页
Clinical Medicine & Engineering
关键词
前列腺增生
膀胱结石
微创
Prostatic hyperplasia
Bladder calculi
Minimal invasion
