等离子电切联合弹道碎石治疗BPH并膀胱结石

The combined use of plasmakinetic bipolar vaporized resectoscope with trajectory lithotriptoscope for benign prostatic hyperplasia with bladder stones

目的：探讨BPH并膀胱结石的更为有效的治疗方法。方法：采用等离子体双极电切联合弹道碎石治疗32例BPH并膀胱结石患者。结果：32例均一次治疗成功，手术时间50～180min，平均90min，术后3～5天拔除尿管，排尿通畅，无电切综合征、膀胱穿孔等并发症。25例随访3个月～1年，国际前列腺症状评分由术前（25．3±6．2）分下降至术后（6．5±0．8）分，术后复查最大尿流率均〉15ml／s。结论：等离子体双极电切联合弹道碎石镜是一种治疗BPH并膀胱结石微创而有效的治疗方法。

Objeetive： To explore the effectiveness of the combined use of plasmakinetic bipolar vaporized resectoscope with trajectory lithotriptoscope for benign prostatic hyperplasia（BPH） with bladder stones. Methods： GYRUS plasmakinetic bipolar vaporized resectoscope and HAWK PDS-Ⅱ Trajectory lithotriptoscope were concomitantly performed on 32 patients of benign prostatic hyperplasia with bladder stones. Results ： Of all cases, BPH with bladder stones were successfully treated in one operation. Operative time ranged from 50 - 180min, average time 90min. No paitent experience TUR syndrome or bladder rupture, All the patients had normal micturation after urethal catheter was with drawn 3-5 days later. The 25 patients followed up for 3 months to lyear. IPSS decreased from 25.3±6.2 to 6.5±0. 8 ,The maximum flow rate（MFR） was over 15.0 ml/s in all the postoperative. Conclusions：The combined use of plasmakinetic bipolar vaporized resectoscope with trajectory lithotriptoscope is a minimum invasion and effective treatment for BPH with bladder stones.