前列腺增生合并膀胱结石同期手术治疗方式及疗效研究

Study on the Effect of Homochronous Operation Treatment of Hyperplasia of Prostate and Vesical Calculus

目的:研究与分析前列腺增生合并膀胱结石同期手术治疗方式及疗效。方法:回顾性分析2016年1月-2017年9月本院收治的54例前列腺增生合并膀胱结石患者的临床资料,根据患者结石情况采取不同方式膀胱碎石(或取石)合并前列腺等离子电切术治疗。观察对比患者治疗前及术后3个月IPSS评分、QOL评分、Qmax以及效果。结果:54例患者均一次性成功完成手术,术中平均出血量(85.8±59.1)m L、平均住院时间(13.5±3.5)d,未发生大出血及膀胱损伤。术后随访3个月,未发现真性尿失禁,无严重血尿,但出现2例感染,1例狭窄。患者术后3个月的IPSS评分、QOL评分、平均Qmax较术前均明显改善,差异均有统计学意义(t=17.3、30.1、28.4,P=0.00、0.00、0.00)。结论:前列腺合并膀胱结石同期手术治疗的效果非常显著,具有安全性高、并发症少等优势,且患者治疗后远期效果良好,值得临床应用推广。

Objective:To study and analyze the homochronous operation treatment of hyperplasia of prostate and vesical calculus.Method:The clinical data of 54 patients with homochronous operation treatment of hyperplasia of prostate and vesical calculus in our hospital from January 2016 to September 2017 were retrospectively analyzed,the patients were treated by percutaneous pneumatic lithotripsy(or prcutaneous nephrolithotomy)and TUPKRP according to the patients’stone.The IPSS score,QOL score,Qmax and effect were compared before treatment and after treatment 3 months.Result:54 patients were successfully treated by a onetime operation.The average blood loss was(85.8±59.1)mL and the average hospital stays were(13.5±3.5)d.The patients were not occurred hemorrhoea and damage to the bladder in operation.After 3 months of follow-up,no real urinary incontinence was found,no severe hematuria was found,but there were 2 cases of infection and 1 case of stenosis.IPSS score,QOL score and mean Qmax of patients at 3 months after operation were significantly improved than those before operation,the differences were statistically significant(t=17.3,30.1,28.4;P=0.00,0.00,0.00).Conclusion:The effect of the homochronous operation treatment of hyperplasia of prostate and vesical calculus is significant,it has high safety and less complications,and the long-term effect after treatment is good,it is worth popularizing in clinical application.