158例良性前列腺增生并膀胱结石的疗效对比

Comparative study of patients with benign prostatic hyperplasia and bladder stones (report of 158 cases)

目的探讨良性前列腺增生并膀胱结石的有效治疗方法。方法分别采用经尿道前列腺电切结合膀胱气压弹道碎石术(A组)、膀胱液电碎石术(B组)、小切口膀胱切开取石术(C组)治疗良性前列腺增生并膀胱结石158例。结果3组病例术后IPSS(国际前列腺症状评分)均较术前下降,Qmax(最大尿流率)均较术前提高(P<0.05)。A组和B组术后膀胱冲洗时间、留置尿管时间及住院时间分别为(26.6±4.9)h、(5.0±1.6)d、(6.2±1.4)d和(25.9±5.7)h、(4.9±1.7)d、(6.1±1.6)d,明显少于C组,有统计学意义(P<0.05)。A组和C组处理膀胱结石大小分别为(3.3±2.1)cm、(3.7±2.6)cm,明显大于B组(P<0.05)。结论3种手术方法均具有明显的临床效果,经尿道前列腺电切结合膀胱气压弹道碎石治疗良性前列腺增生并膀胱结石效果最好。

Objective: To study the effective treatment for patients with benign prostatic hyperplasia (BPH) and bladder stones. Methods: One hundred and fifty-eight cases of BPH and bladder stones were treated by combining transurethral eletroresection (TURP) with ballictic lithotripsy (group A), electrohydraulic lilhotripsy(group B), mini-incisions cystolithotomy (group C). Results: Both groups showed the significant decline in the mean IPSS and incline in the mean Qmax (P<0.05). The mean irrigation time, indwelling catheter time and the postoperative hospital stay were (26.6±4.9)h, (5.0±1.6) d, (6.2±1.4)d and (25.9 5.7) h (4.9±1.7) d, (6.1±1.6) d in group A and group B. compared to group C, there were significant differences (P<0.05). Bigger bladder stones were treated in group A and group C. Conclusion: The results showed that the three therapies of BPH with bladder stones were safe and effective. It is a best way of combining TURP with ballistic lithotripsy.