膀胱结石对前列腺增生患者术后下尿路症状恢复的影响

Influence of treatment to bladder calculi on the improvement of IPSS score after operation for benign prostate hypertrophy

目的:评价膀胱结石对前列腺增生患者术后下尿路症状恢复的影响。方法:回顾性分析住院接受经尿道前列腺电切术(TURP)的单纯前列腺增生患者60例及同期接受TURP和经尿道膀胱结石钬激光碎石术的前列腺增生合并膀胱结石患者30例的临床资料。对比前列腺增生合并膀胱结石组与单纯前列腺增生组术后IPSS评分改善程度的差别,并根据结石形态和大小将前列腺增生合并膀胱结石组分为大结石组及小结石组,分析各组术前膀胱出口梗阻程度(BOO)及残余尿量的差异。结果:前列腺增生合并膀胱结石组IPSS评分成功改善率为46.7%(14/30),单纯前列腺增生组为75%(15/60),两者间的差异有统计学意义(P=0.038)。单纯前列腺增生组和合并膀胱结石组BOO无明显差异(P=0.511),但大结石组高于小结石组(P=0.008),残余尿量在3组间无明显差异(均P>0.05)。结论:膀胱结石是影响前列腺增生术后症状改善的重要因素之一,治疗膀胱结石后的前列腺增生患者术后症状改善明显。

Objective： To analyze the influence of recovery from lower urinary tract symptoms of bladder calculi to benign prostatic hyperplasia（BPH） for transurethral resection of the prostate（TURP）.Methods： Had a retrospective study of the clinical date of 60 patients with BPH undergone TURP and 30 patients of BPH combined with bladder calculi undergone TURP and Transurethral holmium laser lithotripsy in the same period.Compared the difference between the BPH combined with bladder calculi group and simple BPH group.The BPH combined with bladder calculi group was separated into the large group and small group according to the stone shape and size.Compared the difference between two groups about bladder outlet obstruction（BOO） and postvoid residual urine（PVR）.Results： The rate of successful improvement of BPH combined bladder calculi group was 46.7%（14/30）,while the simple BPH group was 75%（15/60）.There was a statistically significant difference between the two groups（P=0.038）.There was no statistical difference in BOO between two groups（P=0.511）,but the small calculi group higher than large calculi group（P=0.008）.There was no statistical difference in PVR among the three groups.Conclusion： Bladder calculi was an important impact factor to the patients underwent BPH surgery,the postoperative symptoms of BPH patients improved significantly after treating bladder calculi.