前列腺增生合并膀胱结石的腔内治疗效果观察

目的分析前列腺增生合并膀胱结石的腔内治疗效果。方法选取98例前列腺增生合并膀胱结石者且按照1∶1比例将其分为观察组和对照组,每组49例。其中观察组采取经尿道前列腺电切除术结合肾镜下超声吸附联合气压弹道碎石术、对照组采取传统手术,同时对两组患者手术效果、手术情况、机体功能指标恢复和手术创伤心理评分加以观察和所得数据的处理分析。结果两组患者治疗总有效率均为100.00%;而两组患者手术时间、IPSS评分、Qmax、Ru比较差异无统计学意义(P>0.05),但术中出血量、膀胱冲洗时间、导尿管留置时间以及平均住院时间比较差异有统计学意义(P<0.05);同时观察组患者躯体化、强迫、抑郁、焦虑、恐惧、偏执评分及总分较对照组低(P<0.05)。结论腔内治疗前列腺增生合并膀胱结石效果显著,且安全可靠、住院时间短。

Objective To analyze the effect of endovascular treatment for benign prostatic hyperplasia complicated with bladder stones. Methods 98 cases of benign prostatic hyperplasia complicated with bladder stones were randomly divided into the observation group and the control group, 49 cases in each group. The observation group received the transurethral resection of the prostate and nephroscope ultrasonic absorption combined with pneumatic lithotripsy, the control group received the traditional operation. The effects, surgical situation, recovery of body function indicators and surgical trauma psychological ratings were observed and analyzed. Results Total efficiency of two groups were 100.00%. There were no significant differences in operation time, IPSS, Qmax and Ru （P〉0.05）. While there were significant differences in the amount of bleeding, bladder irrigation time Indwelling catheter time and average hospitalization time （P〈0.05）. The scores of somatization, compulsion, depression, anxiety, fear, paranoia in observation group were significantly lower than that in control group （P〈0.05）. Conclusion Endovascular treatment had advantages in significant effect, safety and short hospitalization time in the treatment of benign prostatic hyperplasia complicated with bladder stones.