微创治疗前列腺增生伴膀胱结石98例临床观察

Minimally invasive treatment of benign prostatic hyperplasia combined with bladder stones: clinical observation of 98 cases

目的分析微创治疗前列腺增生伴膀胱结石的临床效果。方法病例入选时间段为2014年1月至2016年1月,均为我院泌尿外科收治的前列腺增生伴膀胱结石患者,共98例。按照数字随机表方法分为对照组、研究组,每组49例。对照组患者采取经尿道前列腺电切联合膀胱切开取石术,研究组患者采取经尿道前列腺电切联合膀胱结石气压弹道碎石术。对比两组患者在临床疗效、并发症方面的结果差异。结果研究组患者经治疗后总有效率为95.92%(47/49),显著高于对照组73.47%(36/49)(P<0.05)。两组腺体切除率无统计学差异(P>0.05),但研究组在手术时间、术中出血量、留置导管时间、膀胱冲洗时间及住院时间均明显短于对照组(P<0.05)。研究组患者经治疗后并发症发生率为6.12%(3/49),显著低于对照组30.61%(15/49)(P<0.05)。结论应用微创手术治疗前列腺增生伴膀胱结石的整体效果确切,疗效优于传统疗法,且并发症发生率低,值得在临床中加以推广与应用。

Objective To analyze the clinical effect of minimally invasive treatment of benign prostatic hyperplasia（BPH） combined with bladder calculi. Methods A total of 98 patients with BPH and bladder stones were admitted to our hospital from January 2014 to January 2016 Forty nine cases in control group were treated with transurethral resection of prostate and suprapubic cystolithotomy, and the study group were treated with transurethral resection of prostate and bladder pneumatic lithotripsy. The clinical efficacy and complications of the two groups were observed and compared. Results The effective rate of the study group was 95.92%（47/49）, significantly higher than the control group [73.47%（36/49）,（P〈0.05）]. The operation time, bleeding volume, indwelling catheter time, bladder irrigation time and length of stay in the observation group were significantly shorter than those in the control group（P〈0.05）. The total complication rate in study group was 6.12%（3/49）, significantly lower than the control group [30.61%（15/49）,（P〈0.05）]. Conclusion Minimally invasive surgery in the treatment of benign prostatic hyperplasia with bladder stones is effective, and is worth to be popularized and applied in clinical practice.