论文部分内容阅读
目的观察同期同设备经尿道等离子前列腺电切术(TURP)联合钬激光碎石术及传统开放手术治疗前列腺增生合并膀胱结石的临床疗效并进行对比。方法回顾性分析我院2014年1月至2015年3月28例良性前列腺增生合并膀胱结石的患者,按照患者意愿分为A组和B组。A组16例患者使用TURP+钬激光同时处理前列腺增生症合并膀胱结石,B组12例患者使用TURP+开放取石手术方法,并观察记录两组手术成功例数,手术时间、住院时间以及术中穿孔、术后疼痛、术后出血等相关并发症。采用SPSS 17.0软件进行数据处理。计量资料采用(x±s)表示,进行t检验。P<0.05为差异有统计学意义。结果 28例患者手术取得成功,A组手术时间、术后住院时间少于B组,B组术后出现疼痛、切口出血几率明显高于B组,两组均未出现电切综合征、膀胱损伤等严重并发症,两组对比有统计学意义(P<0.05)。结论同期行TURP及钬激光碎石术治疗前列腺增生合并膀胱结石较传统开放手术具有手术时间短,损伤小、操作方便,恢复时间短、安全、疗效确切等优点。
Objective To observe the clinical efficacy of transurethral plasma prostatectomy (TURP) combined with holmium laser lithotripsy and traditional open surgery for benign prostatic hyperplasia with bladder stones in the same period. Methods A retrospective analysis of 28 patients with benign prostatic hyperplasia and bladder stones from January 2014 to March 2015 in our hospital was divided into A group and B group according to patients’ wishes. A group of 16 patients with TURP + holmium laser simultaneous treatment of benign prostatic hyperplasia with bladder stones, B group of 12 patients using TURP + open stone surgery method, and the number of cases of successful surgery were recorded, the operation time, hospital stay and intraoperative perforation, Postoperative pain, postoperative bleeding and other related complications. Using SPSS 17.0 software for data processing. Measurement data using (x ± s) said, t test. P <0.05 for the difference was statistically significant. Results The operation was successful in 28 patients. The operation time and postoperative hospital stay in group A were less than those in group B. The pain and incision hemorrhage in group B were significantly higher than those in group B. There were no power-cut syndrome and bladder injury in both groups And other serious complications, the two groups were statistically significant (P <0.05). Conclusions TURP and holmium laser lithotripsy for the treatment of benign prostatic hyperplasia with bladder stones over the same period of traditional open surgery with shorter operation time, less damage, easy operation, short recovery time, safety, curative effect and so on.