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目的评价外科手术在良性前列腺增生症合并膀胱结石患者的临床疗效。方法选择72例良性前列腺增生症合并膀胱结石患者,分别采用经尿道汽化电切术及超声吸附联合气压弹道碎石术进行治疗,并对患者术中碎石及电切时间、出血量、术后冲洗时间、术后住院时间进行记录,比较手术前后患者的生活质量评分、国际前列腺评分、最大尿流率及剩余尿量。结果 72例患者平均碎石时间(19±7)min,平均电切时间(59±11)min,术中平均出血量(75±25)ml,术后平均冲洗时间(15.7±3.9)h,术后患者平均住院时间(4.3±1.1)d。且术后患者的QOL评分、IPSS、最大尿流率及剩余尿量数值显著优于手术前(P均<0.05),结论采用尿道汽化电切术治疗良性前列腺增生症和超声吸附联合气压弹道碎石术治疗膀胱结石,出血少,并发症少,且疗效肯定,操作简便,值得在基层医院进行推广。
Objective To evaluate the clinical efficacy of surgery in benign prostatic hyperplasia patients with bladder stones. Methods A total of 72 patients with benign prostatic hyperplasia (BPH) and bladder stones were selected and treated with transurethral vaporization and ultrasonography combined with pneumatic lithotripsy respectively. The patients’ gravel, electrocision time, blood loss, Flushing time and postoperative hospital stay were recorded. The quality of life before and after surgery, international prostate score, maximum flow rate and residual urine volume were compared. Results The average time of lithotripsy in the 72 patients was (19 ± 7) min, the average time of resection was (59 ± 11) min, the mean amount of bleeding during operation was (75 ± 25) ml, the mean time of postoperative washing was (15.7 ± 3.9) The average postoperative hospital stay (4.3 ± 1.1) d. The postoperative QOL score, IPSS, maximal uroflow rate and residual urine volume were significantly better than those before operation (all P <0.05) .Conclusion Urethral vaporization of the prostate for the treatment of benign prostatic hyperplasia and ultrasound combined with pneumatic ballistic crushing Lithotripsy treatment of bladder stones, less bleeding, fewer complications, and the positive effect, easy to operate, it is worth promoting in primary hospitals.