同期手术治疗大体积前列腺增生合并输尿管结石的疗效分析

目的探讨同期手术治疗大体积前列腺增生（BHP）合并输尿管结石的可行性、经济性及其临床疗效。方法大体积前列腺增生（前列腺体积〉80cm3）合并输尿管结石患者53例，其中同期手术组24例，分期手术组29例。比较两组最大尿流率（MFR）、残余尿量（RU）、住院时间、人均医疗费用的差异。结果同期手术最大尿流率（13．3±O．73）ml／s和残余尿量（111．6±12．56）ml与分期手术组（13．6±0．75）ml／s、（117．7±15．90）ml比较，差异无统计学意义。同期手术组住院时间（9．08±1.38）d；分期手术组（14．0±1．56）d，两纽比较差异有统计学意义（P〈0．05）。同期手术组人均费用（3．18±0．41）万元；分期手术组（5．43±0．25）万元，两组比较差异有统计学意义（P〈0．05）。结论同期手术临床效果可靠，同时可节约医疗资源，并且患者痛苦小、人均费用低、住院时间短，是一种更适合于前列腺增生合并输尿管结石治疗的手术方式。

Objective Explore the feasibility of the same period in the surgical treatment of benign prostatic hyperplasia （ BHP ） complicated with Ureteral calculi. Methods From November 2012 to July 2015, Retrospective analysis of 53 patients with large volume prostatic hyperplasia complicated with ureteral stones patients （ the same period surgical group has 24 cases, staging operation group has 29 cases ） . The two groups of patients before and after surgery, the maximum flow rate and residual urine volume difference has no statistically significant; The duration of hospitalization and per capita fee, compared with two group P〈0.05, the difference was statistically significant. Results Over the same period compared with normal surgery operation the maximum flow rate （ maximum flow rate and MFR ） and residual urine volume （ residual urine, RU ） showed no significant difference; short hospital stay, low per capita cost of the two groups, P〈0.05, the difference was statistically significant. Conclusion Not only the clinical effect of the same period surgical operation is reliable, and can save the medical resources, but also the patients with less pain, lower cost, shorter hospitalization time, it is a more suitable treatment for patients with benign prostatic hyperplasia complicated with ureteral calculi.