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目的:探讨经尿道前列腺等离子电切术(bipolar plasmakinetic resection of prostate,PKRP)联合钬激光碎石术治疗良性前列腺增生症(benign prostatic hyperplasia,BPH)并膀胱结石的手术方法、安全性、疗效以及与其他手术方法治疗本组疾病的优点。方法:回顾性分析我院采用经尿道前列腺等离子电切术联合钬激光碎石术治疗良性前列腺增生症并膀胱结石36例患者临床资料。结果:36例患者均手术成功,手术时间平均90min,术中出血量极少,术后留置尿管时间6d,术后平均住院时间为6d。术后随访3个月,国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿(RUV)与治疗前比较有显著改善。无严重并发症及结石残留。结论:经尿道前列腺等离子电切术联合钬激光碎石术治疗良性前列腺增生症并膀胱结石是一种安全有效的治疗方法,具有损伤小、手术时间短、并发症少等优点。
Objective: To investigate the surgical methods, safety, efficacy and efficacy of PKolar combined with holmium laser lithotripsy in the treatment of benign prostatic hyperplasia (BPH) and bladder stones. Other surgical methods to treat the advantages of this group of diseases. Methods: The clinical data of 36 patients with benign prostatic hyperplasia (BPH) complicated with bladder stones treated with transurethral resection of prostate and holmium laser lithotripsy in our hospital were retrospectively analyzed. Results: All the 36 patients were operated successfully. The average operation time was 90 minutes. There were minimal intraoperative blood loss, postoperative catheterization 6 days and postoperative average hospitalization 6 days. After 3 months of follow-up, IPSS, QOL, Rmax and residual urine (RUV) were significantly improved compared with those before treatment. No serious complications and residual stones. Conclusions: Transurethral resection of the prostate plasma combined with holmium laser lithotripsy is a safe and effective treatment for benign prostatic hyperplasia (BPH) and bladder calculi. It has the advantages of less damage, shorter operation time and fewer complications.