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目的探讨良性前列腺增生合并膀胱结石的治疗方法。方法采用经尿道前列腺电切术(TURP)联合经腹腔镜套管针(Trocar)取出结石治疗BPH并发膀胱结石32例。结果 32例中单发结石23例,2块结石4例,多发结石5例。结石大小为1.5cm~3.0cm。除4例因结石太多(分别为3~183块),反复进出Trocar使膀胱造瘘通道迷失而失败外,其余28例均成功。未出现膀胱穿刺通道漏尿、延迟愈合、感染等并发症。结论前列腺增生并发膀胱结石的患者,采用经尿道前列腺电切联合Trocar膀胱穿刺取石是一种可行的操作,达到微创治疗的目的。
Objective To investigate the treatment of benign prostatic hyperplasia with bladder stones. Methods 32 cases of BPH complicated with bladder stones were treated with TURP combined with Trocar removal of stones. Results In 32 cases, 23 cases were solitary stones, 4 cases were 2 stones and 5 cases were multiple stones. Stone size 1.5cm ~ 3.0cm. In addition to the four cases of stone too much (3 to 183, respectively), repeated access to Trocar failed bladder channel and failed, the remaining 28 cases were successful. No bladder puncture leakage catheter leakage, delayed healing, infection and other complications. Conclusion In patients with benign prostatic hyperplasia complicated by bladder stones, transurethral resection of the prostate with Trocar bladder puncture is a feasible procedure to achieve minimally invasive treatment.