两种手术方案治疗良性前列腺增生合并膀胱结石的临床疗效对比

Comparison of Effect of Two Operation Schemes for Treatnebt of Benign Prostatic Hyperplasia Complicated with Bladder Stones

目的观察对比良性前列腺增生合并膀胱结石接受两种不同手术方案治疗的效果。方法选取本院良性前列腺增生合并膀胱结石94例患者作为研究对象,随机分为小切口组(采用小切口膀胱切开取石术联合经尿道前列腺电切术(TURP)治疗)和气压组(采用气压弹道碎石术联合TURP治疗),各47例。比较两组治疗效果。结果气压组手术时间、术中出血量、膀胱冲洗时间、尿管留置时间均显著优于小切口组(P<0.05);小切口组和气压组术后并发症发生率为12.76%、10.64%,组间比较差异无统计学意义(P>0.05)。结论气压弹道碎石术联合TURP治疗良性前列腺增生合并膀胱结石的效果优于小切口膀胱切开取石术联合TURP。

Objective To observe and compare the efficacy of two different surgical procedures in the treatment of benign prostatic hyperplasia complicated with bladder stones. Methods Ninety-four patients with benign prostatic hyperplasia combined with bladder stones treated in our hospital analyzed retrospectively. Forty-seven patients treated with small incision cystotomy combined with transurethral resection of the prostate(TURP)were used as a small incision group,and 47 patients treated with pneumatic ballistic lithotripsy combined with TURP were used as a pneumatic group.The effect of two groups was compared. Results There were significant differences in operation time,bleeding volume,bladder irrigation time and catheter retention time between the pneumatic group and the small incision group(P<0.05).The incidence of postoperative complications in small incision group and pneumatic group was(12.76%,10.64%,P>0.05). Conclusion The effect of pneumatic lithotripsy combined with TURP on benign prostatic hyperplasia complicated with bladder stone is better than that of small incision cystotomy combined with TURP.