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目的:回顾性探讨经尿道前列腺双极等离子汽化电切术(PKVP)配合气压弹道碎石术治疗良性前列腺增生症(BPH)并膀胱结石的疗效。方法:联合应用经电切镜外鞘肾镜下气压弹道碎石术和PKVP治疗BPH并膀胱结石患者55例。结果:所有患者均一次治疗成功,手术时间40～100 min,切割获取前列腺组织重量(60±15)g,无水中毒发生。术后随访排尿困难症状明显改善,国际前列腺症状评分(IPSS)及最大尿流率(MFR)、剩余尿量(RV)术前术后比较差异有统计学意义(P<0.01)。结论:PKVP结合气压弹道碎石术是治疗BPH并膀胱结石的一种安全有效的方法,能有效提高BPH患者的生活质量,于高龄高危患者具有明显的优越性。
Objective: To retrospectively investigate the curative effect of transurethral bipolar plasmaassay (PKVP) combined with pneumatic lithotripsy in the treatment of benign prostatic hyperplasia (BPH) and bladder stones. Methods: A total of 55 patients with BPH and cystolith calculi under combined endoscopic pneumatic lithotripsy and PKVP under combined endoscopic resection were enrolled. Results: All the patients were treated successfully once. The operation time was 40-100 min, and the weight of prostate tissue was obtained by cutting (60 ± 15) g. Anhydrous poisoning occurred. The symptoms of dysuria after operation were significantly improved. The scores of IPSS, MFR and RV before surgery were significantly different (P <0.01). Conclusion: PKVP combined with pneumatic lithotripsy is a safe and effective method for the treatment of BPH and bladder stones. It can effectively improve the quality of life of BPH patients and has obvious advantages in elderly patients at high risk.