摘要
目的探讨前列腺增生症并膀胱结石的治疗方法。方法前列腺增生并膀胱结石180例,分别行膀胱小切口切开取石、气压弹道碎石、大力碎石钳碎石术,取石后均行TUVP术。结果本组180例手术顺利。术中术后无大出血及输血,无TURS发生,拔管后均排尿通畅,术后所有病例均随访6个月,患者术后Qmax、IPSS、QOL评分较术前显著好转(P〈0.01)。尿道狭窄6例,其中5例经尿道扩张治愈,1例经尿道内切开治愈;短期尿失禁9例,于4周内恢复控尿;无永久性尿失禁、无直肠或膀胱损伤、二次大出血、水中毒等并发症。结论选择个体化碎石取石处理既可提高碎石取石效率,又可减少术中术后并发症。
Objectives To investigate individual treatment of patients with benign prostate hyperplasia (BPH) complicated with bladder calculus. Methods Using pneumatic lithotripsy , cystolithotomy with mini - incision , lithotrite lithotripsy and transurethral vaporization of the prostate(TUVP) in 180 cases with bladder stones and benign prostatic hyperplasia. Results The operations completed successfully in all the cases with a mean lithoclasty time of 15 - 60minutes, and mean TUVP time of 85 minutes ( 60 - 120 minutes). No blood transfusion, transurethral resection syndrome (TURS), bladder perforation, or residual stone occurred during and 'after the operations. Urethral catheter was withdrawn 5 -7days postoperation, while none of the patients had urinary incontinence or dysuria. The diagnosis of benign prostatic hyperplasia was confirmed by pathology examination. Six months after the operation , six patients occured urethral stricture. Conclusions Individualized treatment to patients with benign prostate hyperplasia (BPH) complicated with bladder calculus can raise efficiency of lithotripsy and reduce complications intraoperative and postoperative.
出处
《国际泌尿系统杂志》
2011年第4期474-476,共3页
International Journal of Urology and Nephrology
关键词
前列腺结石
膀胱结石
Prostatic Hyperplasia
Bladder Calcul