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目的:探讨腔内治疗BPH并发膀胱结石的有效方法。方法:采用经尿道前列腺绿激光汽化术(PVP)联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石26例。结果:26例均一次手术成功,清石率达100%。无大出血、无膀胱穿孔及严重感染等并发症发生。术后住院3～5d,最大尿流率较术前明显改善。结论:绿激光汽化术联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石,创伤小、恢复快、安全高效,是治疗BPH并发膀胱结石的理想方法。
Objective: To explore an effective method of endovascular treatment of BPH with bladder stones. Methods: Twenty - six BPH complicated with bladder stones were treated with transurethral vaporization of the prostate by green laser vaporization (PVP) combined with endoscopic pneumatic lithotripsy. Results: All the 26 cases were operated successfully and the rate of clear stone was 100%. No major bleeding, no bladder perforation and serious complications such as infection. Postoperative hospital 3 ~ 5d, the maximum flow rate was significantly improved than before surgery. Conclusion: The combination of green laser vaporization and ultrasound - guided pneumatic lithotripsy for the treatment of BPH complicated with bladder stones has the advantages of less trauma, quick recovery and safety and high efficiency. It is an ideal method for the treatment of BPH complicated with bladder stones.