经尿道前列腺电切术联合气压弹道超声碎石清石术治疗前列腺增生合并膀胱结石效果观察

Effect of the transurethral resectin of prostate combined with stone gravel and clearance system in the treatment of benign prostatic hyperplasia complicated with bladder calculi

目的:探讨经尿道前列腺电切术(TURP)联合气压弹道超声碎石清石术治疗良性前列腺增生(BPH)合并膀胱结石的临床效果及应用价值。方法:TURP联合气压弹道超声碎石清石术治疗BPH合并膀胱结石82例,观察患者碎石时间、TURP时间、手术总时间、术后下床活动时间、清石率、术中及术后并发症、术后国际前列腺症状(IPSS)评分及生活质量(QOL)评分。结果:82例患者手术均一次性成功,碎石时间为(22.7±13.6)min,TURP时间为(55.3±20.6)min,手术总时间为(79.2±21.5)min,术后下床活动时间为(4.3±1.5)d,复查尿路平片膀胱结石清石率为100%。无前列腺电切综合征和闭孔神经反射发生,无膀胱穿孔,无大出血导致中转开放手术,术后IPSS评分及QOL评分均较术前显著降低(P<0.01)。结论:TURP联合气压弹道超声碎石清石术治疗BPH合并膀胱结石是安全、高效的方法。

Objective： To study the clinical application value of transurethral resection of the prostate（ TURP） combined with stone gravel and clearance system in the treatment of benign prostate hyperplasia（ BPH） complicated with bladder calculi. Methods： The gravel time,TURP time,operation time,postoperative ambulation time,stone-free rate,intraoperative and postoperative complications,postoperative international prostate symptom score（ IPSS） and quality of life（ QOL） score in 82 BPH complicated with bladder calculi patients treated with TURP combined with stone gravel and clearance system were analyzed. Results： The operations in 82 patients were successfully completed. The gravel time,TURP time,total operation time and postoperative ambulation time in 82 cases were（ 22. 7 ±13. 6） minutes,（ 55. 3 ± 20. 6） minutes,（ 87. 2 ± 21. 5） minutes and（ 4. 3 ± 1. 5） days,respectively. The postoperative bladder calculi stone-free rate was 100%. No transurethral resection syndrome,obturator nerve reflex,bladder perforation and massive haemorrhage leading to open surgery were found. The postoperative IPSS and QOL score were significantly lower than those in before operation（ P〈0. 01）. Conclusions： The treatment of BPH complicated with bladder calculi with TURP combined with stone gravel and clearance system is sfe and effective.