论文部分内容阅读
目的:评价经尿道手术治疗前列腺增生症合并膀胱结石的价值。方法:选取我院2013年6月-2014年7月间收治的80例前列腺增生症合并膀胱结石患者,根据治疗方法的不同分为观察组和对照组,每组患者各40例,观察组给予经尿道前列腺切除+U100激光碎石治疗,对照组给予经尿道前列腺切除+Punch碎石钳碎石治疗,观察比较两组术后1个月IPSS(国际前列腺症状评分)、MRF(最大尿流率)、碎石成功率及对膀胱尿道的损伤。结果:在IPSS和MRF方面,观察组和对照组治疗后优于治疗前,两组比较,P<0.05,差异有统计学意义;观察组的碎石成功率为97.5%(39/40),优于对照组的62.5%(25/40),两组比较,P<0.05,差异有统计学意义;观察组的对膀胱尿道的损伤率优于对照组,P<0.05,差异有统计学意义。结论:TURP(经尿道前列腺切除)+U100激光碎石治疗前列腺增生症合并膀胱结石成功率高,患者痛苦小,值得临床应用。
Objective: To evaluate the value of transurethral surgery in the treatment of benign prostatic hyperplasia with bladder stones. Methods: Eighty patients with benign prostatic hyperplasia complicated with bladder stones admitted from June 2013 to July 2014 in our hospital were divided into observation group and control group according to the different treatment methods, 40 cases in each group and 40 cases in observation group Transurethral resection of the prostate + U100 laser lithotripsy was performed. The control group was given transurethral resection of the prostate + Punch gravel calculus. The IPSS (International Prostate Symptom Score), MRF (maximal urinary flow rate) ), Success rate of gravel and bladder and urethra injury. Results: In the IPSS and MRF groups, the observation group and the control group were superior to those before treatment after treatment, P <0.05, the difference was statistically significant. The success rate of gravel in the observation group was 97.5% (39/40) Which was significantly higher than that of the control group (62.5%, 25/40), P <0.05, the difference was statistically significant; the injury rate of bladder and urethra in the observation group was better than that of the control group, P <0.05, the difference was statistically significant . Conclusion: TURP (transurethral resection of the prostate) + U100 laser lithotripsy for benign prostatic hyperplasia with high success rate of bladder stones, the patient suffering is small, worthy of clinical application.