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目的:探讨尿道等离子电切和弹道超声碎石治疗前列腺增生症并膀胱结石临床效果及安全性。方法:选择本院2012年1月~2013年8月本院泌尿外科收治的84例前列腺增生症并膀胱结石患者,观察患者的手术时间、术中出血量、住院时间、并发症、IPSS评分、QOL、PVR、Qmax。结果:84例患者手术均获成功,平均出血量(118.94±11.57)mL;平均手术时间(74.19±5.68)min;平均导尿管拔除(7.38±1.17)d;住院时间(18.65±2.41)d。术后3个月,患者IPSS评分、QOL、PVR、Qmax分别为(7.18±1.40)分、(1.54±0.32)、(19.01±4.26)mL和(23.06±4.19)mL/s,术前分别为(23.61±3.24)分、(4.44±0.81)、(108.52±9.37)mL和(5.82±0.74)mL/s,差异具有显著性统计学意义(P<0.05)。结论:尿道等离子电切和弹道超声碎石治疗前列腺增生症并膀胱结石安全、有效、手术彻底且术后恢复快。
Objective: To investigate the clinical efficacy and safety of urethral plasma tamponade and ballistic ultrasonic lithotripsy in the treatment of benign prostatic hyperplasia and bladder stone. Methods: A total of 84 patients with benign prostatic hyperplasia (BPH) and bladder stones admitted to our hospital from January 2012 to August 2013 were enrolled in this study. The operation time, intraoperative blood loss, hospitalization time, complications, IPSS score, QOL, PVR, Qmax. RESULTS: All of the 84 patients achieved successful operation with mean bleeding amount of 118.94 ± 11.57 mL, mean operative time (74.19 ± 5.68) min, mean catheterization (7.38 ± 1.17) d and length of hospital stay (18.65 ± 2.41) d . The IPSS score, QOL, PVR and Qmax were (7.18 ± 1.40), (1.54 ± 0.32), (19.01 ± 4.26) mL and (23.06 ± 4.19) mL / s at 3 months after operation respectively (23.61 ± 3.24), (4.44 ± 0.81), (108.52 ± 9.37) mL and (5.82 ± 0.74) mL / s, respectively. There was significant difference between the two groups (P <0.05). Conclusion: Urethral plasma tamponade and ballistic ultrasonic lithotripsy for benign prostatic hyperplasia and bladder stones are safe and effective. The operation is complete and the postoperative recovery is rapid.