等离子电切联合U100+激光碎石术治疗良性前列腺增生合并膀胱结石的临床观察

Senile BPH with bladder stones Treated by PKRP Combining U100+laser lithotripsy

目的:探讨经尿道前列腺等离子电切(PKRP)联合U100+激光碎石治疗老年良性前列腺增生(BPH)合并膀胱结石的临床效果。方法:先经尿道膀胱镜行U100+激光膀胱结石碎石清石术,然后采用PKRP治疗BPH。结果:17例均一次手术成功,平均手术时间95 min,碎石率100%,术中出血量平均为90 ml,无膀胱穿孔、大出血、尿失禁等并发症。结论:针对良性前列腺增生合并膀胱结石患者,采用经尿道前列腺等离子电切(PKRP)联合U100+激光碎石术治疗,具有安全、有效、出血少、创伤小、恢复快、并发症少的优点。

Objective： To probe into the PKRP combined with U100＋ laser lithotripsy for treatment of BPH and bladder stones. Methods： Seventeen patients were operated with PKRP and U100＋ laser lithotripsy for the BPH and bladder stones at the same time. Results： Of all cases were successfully treated in one op- eration. The average operation time 95 min. The success rate of lithotripsy was 100% in all cases. Average amount of bleeding being 90 ml, there were no such severe complications as bladder perforation and serious bleeding happening during and after operation. Conclusion： The method is safe, effective and less bleeding, a short time, less trauma, fewer complications for treatment of senile BPH with bladder stones.