联合治疗前列腺增生并发输尿管结石26例临床分析

Clinical analysis on efficacy of combined treatment in 26 cases of benign prostatic hyperplasia accompanied with ureteral calculi

目的探讨经尿道前列腺等离子汽化电切术(TUPKRP)联合经尿道输尿管镜下气压弹道碎石术(URSL)治疗良性前列腺增生(BPH)并发输尿管结石的疗效。方法对BPH并发输尿管结石患者26例,给予TUPKRP联合URSL治疗。结果经过治疗后,最大尿流速度从术前(6.8±3.4)ml/s升至(18.5±4.7)ml/s,残余尿从术前(83.4±1.7)ml减少至(32.7±5.6)ml,国际前列腺症状评分(IPSS)从术前(27.3±4.1)分降至(8.6±2.3)分,生活质量评分(QOL)从术前(6.1±1.7)分降至(1.2±0.8)分。术前后各参数值比较有差异(P值均<0.05)。结论TUPKRP联合URSL治疗BPH并发榆尿管结石是一种有效安全的方法。

Objective To study the efficacy of transurethral plasmakinetic vaporization（TUPKRP） combined with ureteroscopic pneumatic ballistic lithotripsy（URSL） in treatment of benign prostatic hyperplasia accompanied with ureteral calculi. Methods Twenty six cases of benign prostatic hyperplasia accompanied with ureteral calculi were treated by combined TUPKRP with URSL. Results After treatment, the maximum flow rate of urine was elevated from （ 6.8 ± 3.4） ml/s to （ 18.5 ± 4.7 ） ml/s, and the residual urine was decreased from （83.4± 1.7 ） ml to （32. 7 ± 5.6 ） ml. International prostate symptom scores were dropped from （27.3 ± 4.1 ） to （ 8.6 ± 2.3 ）, and scores for quality of life were dropped from （6.1 ± 1.7 ） to （ 1.2 ± 0.8 ）. There was significant difference （ P 〈 0.05 ） between before and after treatment. Conclusion TUPKRP combined with URSL is an effective and safe method in treatment of BPH accompanied with calculi.