经尿道前列腺等离子电切术联合膀胱碎石取石术治疗高龄高危前列腺增生合并膀胱结石的效果

Effects of transurethral plasmakinetic resection of the prostate combined with bladder lithotripsy in treatment of elderly and high risk patients with prostate hyperplasia with bladder stones

目的:观察经尿道前列腺等离子电切术联合膀胱碎石取石术治疗高龄高危前列腺增生合并膀胱结石的效果。方法:选取70例高龄高危前列腺增生合并膀胱结石患者为研究对象,采用随机数字表法分为观察组和对照组,每组35例。对照组予常规前列腺电切术和膀胱取石术治疗,观察组予经尿道前列腺等离子电切术联合膀胱碎石取石术治疗,比较两组手术时间、术中出血量、膀胱冲洗时间、置管时间和术后住院时间,以及手术前后国际前列腺症状评分表(IPSS)评分、最大尿流率(Qmax)和残余尿量。结果:两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,膀胱冲洗时间、置管时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05)。术后,两组IPSS评分和残余尿量低于或少于术前,Qmax水平高于术前,且观察组IPSS评分和残余尿量低于或少于对照组,Qmax水平高于对照组,差异均有统计学意义(P<0.05)。结论:经尿道前列腺等离子电切术联合膀胱碎石取石术治疗高龄高危前列腺增生合并膀胱结石患者效果较好,可改善临床症状,缩短住院时间,有利于患者恢复。

Objective:To observe Effects of transurethral plasmakinetic resection of the prostate combined with bladder lithotripsy in treatment of elderly and high risk patients with prostate hyperplasia with bladder stones.Methods:70 elderly and high risk patients with prostate hyperplasia and bladder stones were selected as the research objects,and divided into observation group and control group by using the random number table method,35 cases in each group.The control group was treated with conventional prostate resection and bladder lithotripsy,while the observation group was treated with transurethral plasmakinetic resection of prostate combined with bladder lithotripsy.The operation time,intraoperative blood loss,bladder irrigation time,catheterization time,postoperative hospital stay,international prostate symptom score(IPSS)score,maximum urine flow rate(Qmax)and residual urine volume before and after the operation were compared between the two groups.Results:There was no significant difference in the operation time between the two groups(P>0.05).The intraoperative blood loss of the observation group was less than that of the control group;the bladder irrigation time,catheterization time and postoperative hospital stay were shorter than those of the control group;and the differences were statistically significant(P<0.05).After the operation,the IPSS scores and residual urine volumes of the two groups were lower or less than those before the operation,and the Qmax levels were higher than those before the operation;the IPSS score and residual urine volume of the observation group were lower or less than those of the control group,and the Qmax level was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Transurethral plasmakinetic resection of prostate combined with bladder lithotripsy is effective in the treatment of the elderly and high risk patients with prostate hyperplasia with bladder stones.It can improve the clinical symptoms,shorten the hospital stay,and help the patients to recover.