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目的探讨经电切镜外鞘输尿管镜下气压弹道碎石结合前列腺等离子电切术(PKRP)治疗前列腺增生症(BPH)并膀胱结石的疗效。方法 2006年2月至2008年12月,联合应用电切镜外鞘输尿管镜下气压弹道碎石和前列腺等离子电切术治疗BPH并膀胱结石患者21例。结果 21例均一次手术成功,无输血、TURP综合征或严重感染等并发症发生。术后复查,膀胱内均无结石残留,清石率达100%。术后1个月复查,国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qm ax)分别为:(10±3)分、(1.8±0.2)分、(19±7)m l/s,与术前比较差异均有统计学意义(P<0.01)。结论电切镜联合输尿管镜的腔内技术具有创伤小、恢复快、安全高效、并发症少的优点,是治疗前列腺增生并膀胱结石的一种较理想的方法。
Objective To investigate the curative effect of radical prostatectomy combined with ureteroscopic pneumatic lithotripsy and prostatic plasmapheresis (PKRP) on benign prostatic hyperplasia (BPH) and bladder stones. Methods From February 2006 to December 2008, 21 cases of BPH complicated with bladder stones were treated with combined resection of pneumatic lithotripsy and prostate gastrectomy under endoscopic ureteroscopic ureteroscopy. Results All the 21 cases were operated successfully without complications of blood transfusion, TURP syndrome or severe infection. Postoperative review, no residual stones in the bladder, clear stone rate of 100%. The scores of International Prostate Symptom Score (IPSS), Quality of Life (QOL) and Maximum Urine Flow Rate (Qm ax) were (10 ± 3), (1.8 ± 0.2) and (19 ± 7) ml / s, compared with the preoperative difference was statistically significant (P <0.01). Conclusions The resectoscope combined with ureteroscopic endovascular technique has the advantages of less trauma, faster recovery, safe and efficient, less complications and is an ideal method for the treatment of benign prostatic hyperplasia and bladder calculi.