TURP联合腔内碎石同期治疗前列腺增生合并膀胱结石36例

Joint Lithotripsy Period TURP for Benign Prostatic Hyperplasia and Bladder Calculi of 36 Cases

目的：探讨TURP联合腔内碎石治疗良性前列腺增生（BPH）合并膀胱结石的临床疗效。方法：分析TURP联合经尿道钬激光碎石、气压弹道碎石治疗BPH并膀胱结石患者36例临床资料。结果：36例均一次性取尽结石，顺利完成TURP。膀胱结石碎石取石时间平均约39 min（15~80 min），TURP时间平均约58 min（45~85 min）。出血量平均约120 ml（40~280 ml）。无TURP综合征、膀胱穿孔、水中毒及严重感染等并发症出现。术后无结石残留，恢复良好，IPSS（国际前列腺症状评分）较术前明显改善。结论：采用TURP联合经尿道钬激光碎石、气压弹道碎石同期治疗BPH合并膀胱结石是一种安全高效的治疗方法。

Objective：To evaluate the therapeutic efficacy of transurethral resection of the prostate（TURP）combined with holmium laser and Pneumatic ballistic lithotripsy in the treatment of benign prostatic hyperplasia（BPH）with bladder stones.Method：Ballistic and holmium laser lithotripsy by outer sheath resectoscope and then TURP were performed on 58 patients with BPH companied with bladder stones.Result：The operations were completed successfully in all the cases with a mean lithotripsy time of 39 min（15-80 min）,and mean TURP time of 58 min（45-85min）. mean blood loss 120 ml（40-280 ml）.No TUR syndrome,bladder perforation and Severe infection.no residual stone occurred during and after the operations.IPSS improved significantly compared with preoperation.Conclusion：Simultaneous transurethral cysto lithotripsy by holmium laser and pneumatic ballistic and TRUP is a safe and efficient approach for the treatment of BPH associated with bladder stones.