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目的观察良性前列腺增生症(BPH)合并膀胱结石行选择性绿激光前列腺汽化术(PVP)联合钬激光碎石的临床疗效。方法采用PVP联合钬激光碎石术治疗前列腺增生合并膀胱结石45例。结果 45例均一次性手术成功。手术时间84min-175min,平均为96min,无膀胱结石残留、无膀胱穿孔、TURP综合征等并发症。IPSS及QOL评分由术前平均26.3±2.7及4.6±1.1分别下降至8.4±2.3及1.4±0.5,最大尿流率由术前6.75±2.6ml/s增加至术后16.8±2.8ml/s,剩余尿量由术前148.0±24.8ml下降至术后22.6±3.8ml,45例随访3个月到6个月,无结石复发。结论 PVP联合钬激光碎石治疗是治疗良性前列腺增生症合并膀胱结石是一种简单微创的有效方法。
Objective To observe the clinical efficacy of selective green laser prostatectomy (PVP) and holmium laser lithotripsy in benign prostatic hyperplasia (BPH) complicated with bladder stones. Methods PVP combined with holmium laser lithotripsy for benign prostatic hyperplasia with bladder stones in 45 cases. Results 45 cases were successful in one operation. Operation time 84min-175min, an average of 96min, no residual bladder stones, no bladder perforation, TURP syndrome and other complications. The IPSS and QOL scores decreased from preoperatively 26.3 ± 2.7 and 4.6 ± 1.1 to 8.4 ± 2.3 and 1.4 ± 0.5, respectively. The maximum flow rate increased from 6.75 ± 2.6ml / s to 16.8 ± 2.8ml / s preoperatively, Residual urine volume decreased from 148.0 ± 24.8 ml to 22.6 ± 3.8 ml after operation, and 45 cases were followed up for 3 months to 6 months without recurrence of stones. Conclusion The combination of PVP and holmium laser lithotripsy is an effective and simple method for the treatment of benign prostatic hyperplasia with bladder stones.