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目的探讨一期治疗BPH合并膀胱结石的有效治疗方法。方法采用等离子体电切镜联合气压弹道碎石治疗38例BPH合并膀胱结石患者。结果38例均1次手术治疗成功,手术时间40～165min,平均85min,无输血,无TURP综合征、膀胱穿孔及严重感染等并发症。术后5～7d拔除尿管,排尿通畅,最大尿流率较术前改善。结论等离子电切镜联合气压弹道碎石是一种治疗BPH合并膀胱结石微创而较理想的治疗方法。
Objective To explore a effective treatment of BPH with bladder stones. Methods 38 cases of BPH with bladder stones were treated with plasma resectoscope and pneumatic lithotripsy. Results All the 38 cases were successful in one operation. The operation time was 40 to 165 minutes with an average of 85 minutes. No blood transfusion, TURP syndrome, bladder perforation and severe infection were found. 5 ~ 7d after removal of the catheter, voiding patency, the maximum flow rate was improved compared with preoperative. Conclusions Plasma resectoscope combined with pneumatic lithotripsy is an ideal treatment for BPH combined with minimally invasive bladder stones.