气压弹道碎石与PKRP同期治疗前列腺增生并膀胱结石疗效分析

The curative effect of pneumatic lithotripsy combined with transurethral plasmakinetic resection of prostate(PKRP) on patients with benign prostatic hyperplasia(BPH) and bladder stones

目的：探讨应用气压弹道碎石与经尿道前列腺等离子电切术（ PKRP ）同期治疗前列腺增生（ BPH）并膀胱结石的安全性及有效性。方法回顾性分析65例BPH并膀胱结石的临床资料，这些患者均接受应用气压弹道碎石取石后经尿道等离子电切增生的前列腺组织。结果65例均一次手术成功，无膀胱穿孔、电切综合征、大出血、结石残留及尿失禁等并发症，尿道狭窄3例，经尿道扩张治愈，随访3～12个月，排尿困难症状均明显改善。国际前列腺症状评分（IPSS）、最大尿流率（Qmax）及残余尿量（PRV）术前与术后3个月比较差异有统计学意义（ P＜0．01）。结论气压弹道碎石联合PKRP同期腔内治疗BPH合并膀胱结石安全、高效。

Objective To study the effect of pneumatic lithotripsy combined with transurethral plasmakinetic resection of prostate （ PKRP） on patients with benign prostatic hyperplasia （ BPH） and bladder stones .Methods The clinical data of 65 patients with benign prostatic hyperplasia and bladder calculi were retrospectively analyzed , who were performed on the application of pneumatic ballistic lithotripsy removed , followed by transurethral bipolar plasma cutting hyperplasia of prostate tissue .Results 65 cases were successful with the operation , without bladder perfora-tion, cutting syndrome , hemorrhage , stone residues and complications such as urinary incontinence .3 cases of ure-thral stricture were cured by urethral dilatation .Dysuria symptoms improved significantly after a follow-up of 3 to 12 months.There were significant differences in the international prostate symptom score （IPSS）, maximum urinary flow rate（Qmax） and residual urine volume（PVR） after the operation of 3 months compared with those before operation（P〈0.01 ） .Conclusion It is safe and effective to cure the BPH patients with bladder stones by using PKRP treatment .