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目的:探析经尿道前列腺等离子切除术+经尿道气压弹道碎石术治疗前列腺增生合并膀胱结石的临床价值。方法:2015年4月-2017年4月,我院共收治前列腺增生合并膀胱结石患者62例,依照随机数表将其分为31例对照组与31例观察组。对照组采用经尿道前列腺等离子切除术+膀胱切开取石术进行治疗,观察组采用尿道前列腺等离子切除术+经尿道气压弹道碎石术进行治疗。对两组患者临床治疗效果进行对比。结果:由本次研究可知,在临床治疗有效率上,对照组与观察组基本相当,并无显著差异(P>0.05)。在手术出血量、残余尿量、置管时间以及住院时间等临床指标上,观察组优于对照组,其差异具有统计学意义(P<0.05)。在并发症发生率上,对照远组高于观察组(32.25%>9.66%),其差异具有统计学意义(P<0.05)。结论:经经尿道前列腺等离子切除术+经尿道气压弹道碎石术在前列腺增生合并膀胱结石治疗中具有较高的临床应用价值,可在临床治疗中予以推广。
Objective: To investigate the clinical value of transurethral resection of prostate and transurethral pneumatic lithotripsy for benign prostatic hyperplasia with bladder stones. Methods: From April 2015 to April 2017, 62 patients with benign prostatic hyperplasia and bladder stones were treated in our hospital. According to the random number table, they were divided into 31 cases of control group and 31 cases of observation group. The control group was treated by transurethral resection of prostate and cystectomy and the observation group was treated by urethral prostatic plasmapheresis and transurethral pneumatic lithotripsy. The clinical effect of two groups of patients were compared. Results: From this study, we can see that in the clinical treatment efficiency, the control group and the observation group basically the same, no significant difference (P> 0.05). Surgical bleeding, residual urine volume, catheterization time and hospital stay and other clinical indicators, the observation group was superior to the control group, the difference was statistically significant (P <0.05). In the complication rate, the control group was higher than the observation group (32.25%> 9.66%), the difference was statistically significant (P <0.05). Conclusion: Transurethral resection of prostate + transurethral pneumatic lithotripsy in the treatment of benign prostatic hyperplasia with bladder stones has a high clinical value, which can be promoted in clinical treatment.