同期手术治疗良性前列腺增生并膀胱结石27例报告

One-stage operation for benign prostatic hyperplasia combined with bladder calculi:a report of 27 cases

目的：探讨良性前列腺增生（benign prostatic hyperplasia,BPH）并膀胱结石的治疗方法及疗效.方法：27例患者中8例用电切镜直接夹取结石,13例经尿道碎石,6例行耻骨上小切口切开取石术,同期均行经尿道前列腺电切术（transurethral electroresection of prostate,TURP）联合经尿道前列腺汽化电切术（transurethral electrovaporization of prostate,TUVP）.结果：手术均获成功,术中无膀胱穿孔,术中、术后无电切综合征发生,无结石残留,术后3～5d拔除导尿管.结论：对BPH合并膀胱结石的患者,根据结石的直径、数量采取经尿道取石、碎石或经耻骨上小切口取石,同期行TURP联合TUVP治疗BPH,能缩短手术时间,减少并发症.

Objective：To investigate the approaches and therapeutic effect for benign prostatic hyperplasia （BPH） combined with bladder calculi. Methods： A total of 27 patients with BPH combined with bladder caluli underwent one-stage operation. Results： All patients were successfully operated on at one-stage. There were not such complications as vesical perforation, calculi recurrence, incontinence and urethral stricture. Conclusions： For patients with BPH combined with bladder calculi, one-stage operation can shorter the operative time and reduce the complications.