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目的:比较经尿道单通道气压弹道碎石联合经尿道前列腺电切术(TURP)(单通道手术)与经皮膀胱造瘘通道和尿道双通道气压弹道碎石联合TURP(双通道手术)治疗前列腺增生(BPH)并膀胱结石的疗效。方法:回顾性分析25例单通道手术与25例双通道手术患者的临床资料。结果:两组患者术后下尿路梗阻症状均解除,术后留置尿管时间、膀胱冲洗时间及术后住院时间无明显差别,TURP时间基本相同;但在碎石清石时间、残石存留及尿道狭窄的发生上,双通道手术优于单通道手术。结论:经皮膀胱造瘘通道和尿道双通道气压弹道碎石联合TURP治疗BPH并膀胱结石比单通道手术更具有安全性和有效性。
PURPOSE: To compare the efficacy of transurethral single-channel pneumatic lithotripsy with transurethral resection of the prostate (TURP) (single-channel surgery) with percutaneous cystostomy and urethral dual-channel pneumatic lithotripsy combined with TURP (dual channel surgery) Proliferation (BPH) and bladder stones curative effect. Methods: The clinical data of 25 patients with single-channel surgery and 25 patients with dual-channel surgery were analyzed retrospectively. Results: The postoperative symptoms of lower urinary tract obstruction were relieved in both groups. There was no significant difference in postoperative urinary catheter time, bladder irrigation time and postoperative hospital stay, but the time of TURP was basically the same. However, during the lithotripsy, residual stone remained And the occurrence of urethral stricture, dual-channel surgery is better than single-channel surgery. Conclusion: Percutaneous cystostomy and urethral dual-channel pneumatic lithotripsy combined with TURP in the treatment of BPH and bladder stones are more safe and effective than single-channel surgery.