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目的:讨论研究膀胱微造瘘经尿道前列腺切除术联合碎石术治疗前列腺增生并发膀胱大结石的临床疗效与意义。方法:选取我院泌尿外科前列腺增生并发膀胱大结石患者50例随机分为单一组与联合组。分别行经尿道前列腺切除术联合钬激光碎石术与膀胱微创造瘘经尿道前列腺电切除术联合碎石术对疾病进行治疗。比较两组患者应用不同方式治疗后手术情况及术后恢复情况。结果:膀胱微造瘘经尿道前列腺切除术联合碎石术治疗组患者手术中各项指标均显著优于气压弹道碎石术联合前列腺切除术患者(P<0.05)。治疗后各项恢复情况联合组显著优于单一组,远期效果均较好(P<0.05)。结论:临床应用膀胱微造瘘经前列腺切除术加碎石术对前列腺增生合并膀胱大结石患者进行治疗效果显著。
OBJECTIVE: To discuss the clinical effects and significance of transurethral resection of bladder microbes combined with lithotripsy for the treatment of benign prostatic hyperplasia complicated with large urolithiasis. Methods: 50 cases of benign prostatic hyperplasia complicated with bladder stones in our hospital were randomly divided into single group and combined group. Transurethral resection of the prostate and holmium laser lithotripsy and minimally invasive fistula transurethral resection of the prostate combined with lithotripsy were used to treat the disease. The two groups of patients were treated with different ways of operation and postoperative recovery. Results: All the indexes in operation of bladder micro-fistula transurethral resection combined with lithotripsy were significantly better than those of pneumatic lithotripsy and prostatectomy (P <0.05). After treatment, the recovery group was significantly better than the single group, long-term results were better (P <0.05). Conclusion: The clinical application of bladder microstoma by prostatectomy and lithotripsy of benign prostatic hyperplasia with large bladder stones in patients with significant effect.