腔镜下同期处理前列腺增生和输尿管结石的可行性和疗效

目的探讨腔镜下同期处理前列腺增生和输尿管结石的可行性及其临床疗效,为今后临床工作提供参考依据。方法选取2008年1月～2011年1月间同期行经输尿管镜气压弹道碎石术及经尿道前列腺电切术的输尿管结石合并良性前列腺增生患者50例。结果患者术前IPSS评分、QOL评分、残余尿量均明显高于术后1a患者相应指标,同时术前Qmax明显低于术后,两组间以上差异在统计学上均具有意义(P<0.05)。结论腔镜下同期进行经输尿管镜气压弹道碎石术及经尿道前列腺电切术是治疗前列腺增生和输尿管结石的一种安全、有效、微创、并发症少的治疗手段,值得推广。

Objective To discuss the endoscopic treatment of benign prostate hyperplasia and ureteral stones from the feasibility and clinical efficacy, sum up experience, to provide reference for future clinical work. Methods Simultaneous transurethral ureteroscopic pneumatic lithotripsy and transurethral resection of the prostate for ureteral calculi complicated with benign prostatic hyperplasia in 50 cases from January 2008 to January 2011 in our hospital. Results Patients with preoperative IPSS score, QOL score, and residual urine volume were significantly higher than those of1 years postoperatively in patients with the corresponding indicators, and preoperative Qmax significantly lower postoperative, between the two groups above difference statistically in all has significance （P〈0.05）. Conclusion Endoscopic period undergoing ureteroscopic pneumatic lithotripsy and transurethral resection of prostate in treatment of benign prostate hyperplasia and ureteral calculi is a safe, effective, less invasive, less complications treatment, worthy of promotion.