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目的探讨前列腺增生(BPH)并发前列腺结石的临床特点和治疗方法。方法对130例BPH并发前列腺结石的病例进行回顾性分析。结果125例术前由B超确诊,B超确诊率为96.1%。治疗全部采用经尿道前列腺电切术(TURP),结果125例患者1次治愈,术后症状消失,疗效良好,复查B超前列腺结石全部消失。5例第1次TURP未能将结石取出(误以为结石腔为直肠而终止手术),患者症状无改善。其中3例再次TURP取净结石,症状消失。其余1例转他院行前列腺根治切除而治愈。1例拒绝再次手术,并随访5年。仍然尿频、尿急、排尿困难,夜尿4~6次。结论B超是诊断合并前列腺结石的有效方法,但有一定的漏诊率。TURP是治疗BPH并发前列腺结石的首选方法,具有理想的临床疗效,但要求将结石取净。
Objective To investigate the clinical features and treatment of benign prostatic hyperplasia (BPH) complicated with prostate stones. Methods Retrospective analysis of 130 cases of BPH complicated with prostate stones. Results 125 cases were diagnosed by B ultrasound preoperatively and the diagnosis rate of B ultrasound was 96.1%. Treatment of all transurethral resection of the prostate (TURP), the results of 125 patients were cured once, the symptoms disappeared, the effect is good, the review of B-prostate stones all disappear. In 5 cases, the first TURP failed to remove the stone (mistaken for the stone cavity rectal surgery and termination), the patient’s symptoms did not improve. TURP again in 3 cases to take net stones, the symptoms disappear. The remaining 1 case transferred to his hospital radical prostatectomy and cure. One case refused to re-surgery and followed up for 5 years. Still frequent urination, urgency, dysuria, nocturia 4 to 6 times. Conclusion B ultrasound is an effective method to diagnose prostatic stones, but there is a certain misdiagnosis rate. TURP is the first choice for the treatment of BPH complicated with prostate stones. It has the ideal clinical effect, but requires the removal of stones.