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目的:探讨经尿道等离子双极电切联合钬激光碎石的临床效果。方法:运用经尿道等离子双极前列腺电切术(PKRP)联合钬激光碎石系统治疗复杂老年前列腺增生症(BPH)合并膀胱结石患者108例。结果:108例患者均1次性手术成功,取石率为100%。手术时间35~106分钟,平均约58分钟,其中碎石时间6~35分钟,平均18分钟,术中无任何并发症。PKRP术后留置导尿管2~6天,术后住院时间为4~8天,平均5.8天。术后随访6~12个月,无结石复发及尿道狭窄等并发症。结论:采用PKRP联合钬激光碎石术治疗复杂老年前列腺增生合并膀胱结石具有手术时间短,创伤小及安全性高等优势。特别是对复杂前列腺增生症患者合并膀胱较大结石、多发结石更具优势。
Objective: To investigate the clinical effect of transurethral plasma bipolar tachotomy combined with holmium laser lithotripsy. Methods: Transurethral plasma bipolar prostatectomy (PKRP) combined with holmium laser lithotripsy was used to treat 108 cases of complicated senile benign prostatic hyperplasia (BPH) with bladder stones. Results: One hundred patients were successful in one operation, the stone extraction rate was 100%. Surgery time 35 to 106 minutes, an average of about 58 minutes, of which gravel time 6 to 35 minutes, an average of 18 minutes, no complications during surgery. PKRP catheter indwelling catheter 2 to 6 days, postoperative hospital stay for 4 to 8 days, an average of 5.8 days. Postoperative follow-up 6 to 12 months, no recurrence of stones and urethral strictures and other complications. Conclusion: The combination of PKRP and holmium laser lithotripsy in the treatment of complex elderly BPH with bladder stones has the advantages of shorter operation time, less trauma and higher safety. Especially for patients with complicated benign prostatic hyperplasia with larger stones in the bladder, multiple stones more advantages.