微创手术治疗前列腺增生病并输尿管结石患者效果观察及对患者生活质量的影响

Effect of minimally invasive surgical treatment for patients with benign prostatic hyperplasia and ureteral calculi

目的 探讨微创手术治疗前列腺增生并输尿管结石患者效果及对患者生活质量的影响.方法 本研究病例来源于2012年1月至2015年1月期间本院收治的前列腺增生合并输尿管结石患者32例,采用微创手术治疗.观察患者手术成功率、手术时间、术后住院时间、术后留置尿管时间、术后并发症、术后3个月碎石排尽情况.结果 入组的32例患者中,手术成功率为96.88％,平均手术时间（71.93 ±6.52） min,术后平均住院时间（4.12 ±0.68）d,术后留置尿管的时间为（6.29±1.76）d,术后的并发症发生率为25.00％,术后3个月的碎石排尽率为87.50％;术后3个月患者最大尿流率高于术前,IPSS评分低于术前,残余尿量少于术前,均有统计学差异（P＜0.05）;术后3个月患者躯体疼痛、精神健康、生理功能、生理职能、情感职能、社会功能、生命活力、总体健康均明显高于术前（P＜0.05）.结论 微创手术治疗前列腺增生病并输尿管结石患者效果明显,且可明显提高患者生活质量,值得进一步研究.

Objectives To investigate the effect of minimally invasive surgical treatment for patients with benign prostatic hyperplasia and the effect of ureteral calculi and the influence of the quality of life.Methods 32 cases of benign prostatic hyperplasia combined with ureteral calculi were treated with minimally invasive surgical treatment in our hospital from January 2012 to January 2015.The success rate,operation time,postoperative hospital stay,postoperative indwelling catheter time,postoperative complications,and stone-free rate after 3 months were observed.Results The success rate was 32 in 96.88% patients,mean operation time was （71.93 ± 6.52） min,average hospitalization time was （4.12 ±0.68） d,postoperative indwelling catheter time was （6.29 ± 1.76） d,the postoperative complication rate was 25%,stone-free rate after 3 months was 87.50%.The maximum urinary flow rate was significantly higher than that before surgery,and the IPSS score was lower than that before operation,and the residual urine volume was less than 3 months after operation,and there were significant differences （P 〈 0.05）.The physical pain,mental health,physical function,physical function,emotional function,social function,social function,vitality,and overall health were significantly higher in the 3 months after operation than before operation （P 〈 0.05）.Conclusions Minimally invasive surgery in the treatment of patients with benign prostatic hyperplasia and ureteral calculi has obvious effect,which can significantly improve the quality of life,it is worth further study.