经尿道电切联合经腹腔镜套管针取石治疗BPH并发膀胱结石

Transurethral electric cutting jointing laparoscopic sleeve needle treatment for benign prostatic hyperplasia complicated with bladder stones

目的：探讨良性前列腺增生合并膀胱结石的治疗方法。方法采用经尿道前列腺电切术（TURP）联合经腹腔镜套管针（Trocar）取出结石治疗BPH并发膀胱结石32例。结果32例中单发结石23例，2块结石4例，多发结石5例。结石大小为1.5cm^3.0cm。除4例因结石太多（分别为3~183块），反复进出Trocar使膀胱造瘘通道迷失而失败外，其余28例均成功。未出现膀胱穿刺通道漏尿、延迟愈合、感染等并发症。结论前列腺增生并发膀胱结石的患者，采用经尿道前列腺电切联合Trocar膀胱穿刺取石是一种可行的操作，达到微创治疗的目的。

Objective To evaluate treatment methods for benign prostatic hyperplasia （ BPH） combined with bladder stones. Methods A total of 32 BPH patients with bladder calculi underwent transurethral resection of the prostate combining with laparoscopic Trocar suprapubic lithotomy. Results Twenty-three of 32 patients had single calculi,4 patients had 2 piece of stone and 5 patients multiple stones. Stone size ranged from 1.5 cm to 3.0 cm. The treatment for 4 cases with much more stone was faliure due to bladder colostomy channel failure and the other 28 cases were successful. Bladder puncture channel leakage, delayed union, complication such as infection did not occur. Conclusion For BPH patients with bladder stones, transurethral resection of prostate combining with laparoscopic Trocar therapy is a feasible operation, and it realize the purpose of intracavitary treatment completely.