不同方法治疗老年患者前列腺增生合并膀胱结石的效果观察

The clinical effect observation of different operation methods in treatment of elderly patients with benign prostatic hyperplasia combined with bladder stones

目的探讨不同手术方法治疗老年前列腺增生合并膀胱结石(BPH)的临床效果。方法将76例老年BPH患者根据手术方式分为3组,开放手术组(A组)、气压弹道碎石术+TURP组(B组)和联合钬激光碎石+TURP组(C组),比较分析3组的手术效果。结果相对于B、C 2组,A组碎石/取石时间、总手术时间短,术后剩余尿量少,但是术中出血量多、住院天数较长,A、B、C 3组间比较,上述指标差异均有统计学意义(P<0.05)。3组并发症、结石残留、术后最大尿流率差异无统计学意义(P>0.05)。结论开放手术治疗结石直径大于3 cm老年前列腺增生合并膀胱结石,手术时间短、术后结石残留和剩余尿量少,值得临床进一步研究。

Objective To investigate the clinical effect of different operation methods in treatment of elderly patients with benign prostatic hyperplasia （BPH） combined with bladder stones. Methods 76 cases of BPH patients were divided into three groups according to the operation mode： the open operation group （group A）, pneumatic lithotripsy＋TURP group （group B） and holmium laser lithotripsy＋TURP （C group）, then, operation effect of the three groups was compared. Results Compared with B, C groups, broken stone time and total operation time was shorter in A group with less postoperative residual urine volume, but the amount of intraoperative bleeding, hospitalization days was longer, between three groups, there were significant difference in the above indexes （P〈0.05）. In the aspects of maximum urinary flow rate, complications, postoperative residual stones, the differences between three groups were not statistical significant （P〉0.05）. Conclusion For elderly BPH patients with calculus diameter than 3cm, open operation method has the advantages of short operation time, postoperative residual stones and residual urine volume small, which worthy of further clinical study.