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目的对比前列腺增生合并膀胱结石应用两种同期手术治疗方案的临床效果。方法将前列腺增生合并膀胱结石患者70例按照随机数字表法平均分为研究组和对照组各35例,研究组患者同期实施气压弹道碎石术(简称气压碎石术)结合普通电切镜前列腺剜除术进行治疗,对照组患者同期实施耻骨上小切口膀胱切开取石术(简称切口取石术)结合普通电切镜前列腺剜除术进行治疗,采用生活质量评分标准(QOL)对患者治疗后的生活质量进行评价,采用国际前列腺症状评分(IPSS)对患者临床症状严重程度进行判断,对患者的最大尿流率(Qmax)进行检测。对比2组QOL评分、IPSS评分和Qmax。结果研究组患者的QOL评分、IPSS评分和Qmax均优于对照组,差异有统计学意义(P<0.05)。结论实施气压弹道碎石术结合普通电切镜前列腺剜除术同期手术对前列腺增生合并膀胱结石进行治疗,取得较为显著的效果,值得在临床上广泛推广。
Objective To compare the clinical effects of two concurrent surgical treatments for benign prostatic hyperplasia with bladder stones. Methods Seventy patients with benign prostatic hyperplasia complicated with bladder stone were divided equally into 35 cases in study group and control group according to random number table. Patients in study group were treated with pneumatic lithotripsy (referred to as pneumatic lithotripsy) combined with common resectoscope In the control group, the patients underwent small-incision suprapubic cystolithotomy (referred to as incision lithotomy) and common resectoscope for prostatectomy, and the patients in the control group were treated with QOL (Quality of Life Scale) The quality of life of the patients was assessed. The severity of clinical symptoms was assessed by International Prostate Symptom Score (IPSS), and the maximum flow rate (Qmax) of the patients was measured. The QOL score, IPSS score and Qmax were compared between two groups. Results The QOL score, IPSS score and Qmax of the study group were better than those of the control group, the difference was statistically significant (P <0.05). Conclusions The implementation of pneumatic lithotripsy combined with common resectoscopic prostatectomy surgical treatment of benign prostatic hyperplasia with bladder stones for treatment, and achieved more significant results, it is widely used in clinical practice.