尿道等离子电切和弹道超声碎石治疗前列腺增生症并膀胱结石的临床疗效观察

The Effect of Transurethral Plasmakinetic Resection and Ultrasonic Lithotripsy on Benign Prostatic Hyperplasia Combined with Bladder Stones

目的：探讨尿道等离子电切和弹道超声碎石治疗前列腺增生症并膀胱结石临床效果及安全性。方法：选择本院2012年1月~2013年8月本院泌尿外科收治的84例前列腺增生症并膀胱结石患者,观察患者的手术时间、术中出血量、住院时间、并发症、IPSS评分、QOL、PVR、Qmax。结果：84例患者手术均获成功,平均出血量（118.94±11.57）mL;平均手术时间（74.19±5.68）min;平均导尿管拔除（7.38±1.17）d;住院时间（18.65±2.41）d。术后3个月,患者IPSS评分、QOL、PVR、Qmax分别为（7.18±1.40）分、（1.54±0.32）、（19.01±4.26）mL和（23.06±4.19）mL/s,术前分别为（23.61±3.24）分、（4.44±0.81）、（108.52±9.37）mL和（5.82±0.74）mL/s,差异具有显著性统计学意义（P〈0.05）。结论：尿道等离子电切和弹道超声碎石治疗前列腺增生症并膀胱结石安全、有效、手术彻底且术后恢复快。

Objective： To explore the effect of transurethral plasmakinetic resection and ultrasonic lithotripsy oh benign prostatic hyperplasia combined with bladder stones. Methods： 84 patients with benign prostatic hyperplasia and bladder stones admitted from January 2012 to August 2013 in our hospital were selected, the operation time, operative blood loss, hospital stay, complications, IPSS score, QOL, PVR and Qmax were observed. Results： 84 patients were successfully operated. The average bleeding volume was （118.94± 11.57） ml; the average operation time was （74.19± 5.68） min; the mean catheter removal of（7.38± 1.17）d, the hospitalization time was （18.65 ± 2.41） days. 3 months after operation, the IPSS score, QOL, PVR, Qmax were （7.18± 1.40）, （1.54± 0.32）, （19.01± 4.26） mL and （23.06± 4.19） mL/s, which were （23.61± 3.24）, （4.44± 0.81）, （108.52± 9.37） mL and （5.82± 0.74） mL/s before operation, the differences were significant between two goups（P〈0.05）. Conclusion： Transurethral plasmakinetic resection plus ultrasonic lithotripsy was an effective and safe method in the treatment of benign prostatic hyperplasia combined with bladder stones.