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目的:探讨前列腺增生合并膀胱结石患者接受同期手术治疗的临床效果和安全性,对不同的碎石技术联合经尿道前列腺电切术效果进行分析。方法:选取2010年2月至2013年8月该院同期手术治疗的BPH合并膀胱结石患者进行分析,有14例作为A组,行经尿道前列腺汽化电切术联合钬激光碎石治疗,B组25例行联合气压弹道碎石术治疗,对两组的治疗指标进行对比。结果:A组和B组的前列腺大小以及结石大小对比无统计学差异(P>0.05);B组患者的取石时间、术后导尿管留置时间比A组高,结果存在统计学差异(P<0.05);B组患者的国际前列腺炎症状评分比治疗前低,结果存在统计学差异(P<0.05),A、B组的对比无统计学差异(P>0.05);B组不良反应发生率比A组高,无统计学差异(P>0.05)。结论:狄激光碎石和气压弹道碎石两种技术分别和经尿道前列腺汽化电切术联合应用,治疗前列腺增生合并膀胱结石患者的效果均比较理想,气压弹道碎石的取石时间长,导尿管留置时间长,所以应该选择狄激光碎石更加合适。
Objective: To investigate the clinical effect and safety of concurrent surgical treatment for patients with benign prostatic hyperplasia and bladder stones, and analyze the effect of different lithotripsy combined with transurethral resection of prostate. Methods: From February 2010 to August 2013, we analyzed the surgical treatment of BPH with bladder stones in the same period in our hospital from January 2010 to August 2013. 14 patients were treated as group A with transurethral vaporization of the prostate and holmium laser lithotripsy. Group B Routine combined with pneumatic lithotripsy treatment, the treatment of the two groups were compared. Results: There was no significant difference between the size of prostate and the size of the stones in group A and group B (P> 0.05). The time of stone retrieval and catheter indwelling in group B were higher than those in group A (P> 0.05) <0.05). The score of international prostatitis symptom in group B was lower than that before treatment (P <0.05), but there was no significant difference in group A and B (P> 0.05); adverse reactions in group B Rate higher than the A group, no significant difference (P> 0.05). Conclusion: Both laser lithotripsy and pneumatic lithotripsy are combined with transurethral resection of the prostate to treat patients with benign prostatic hyperplasia and bladder stones. The results of pneumatic lithotripsy are long, Tube retention time is long, so it should be more appropriate to choose Di laser gravel.