腔内治疗前列腺增生并膀胱结石

The combined use of transurethral electro-vaporiation ablation and pneumatic lithotripsy for benign prostatic hyperplasia with bladder stones

目的 探讨良性前列腺增生症 (BPH)并膀胱结石的有效治疗方法。方法 采用经尿道前列腺汽化电切 (TUVP)结合气压弹道碎石术治疗 36例BPH并膀胱结石患者。结果 手术时间 35～ 15 0min ,平均 75min。术后 3～ 5d拔除尿管 ,排尿通畅 ,无电切综合症、膀胱穿孔等并发症。 30例随访 6个月～ 2年 ,IPSS由术前 2 5 .6± 2 .0下降至术后 7.6± 0 .4 (P <0 .0 1) ,术后复查最大尿流率均 >15 .0mL/s。结论 TUVP结合气压弹道碎石术是BPH并膀胱结石的一种安全、有效的治疗方法。

Objective To study the endourological treatment of combing transurethral electro vaporization ablation with pneumatic lithotripsy for patients of benign prostatic hyperplasia with bladder stones. Methods TUVP and pneumatic lithotripsy were concomitantly performed on 36 cases of benign prostatic hyperplasia (BPH) with bladder stones. Results In all the patients, BPH and bladder stone were successfully treated in one operation. No patient experienced TUR syndrome or bladder rupture. All the patients had normal micturation after the urethal catheter was with drawn 3～5 days later. The 30 patients were followed up for 1/2 to 2 years. IPSS decreased from 25.6±2.0 to 7.6±0.4 ( P < 0.01 ). The maximum flow rate (MFR) was over 15.0 mL/s in all the postoperative patients. Conclusion The combined use of transurethral electro vaporization ablation and pneumatic lithotripsy is an effective treatment with low complication rate for BPH with bladder stones.