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TURP联合肾镜下弹道超声波碎石清石术治疗前列腺增生并发膀胱结石(附43例报告) 被引量:12

TURP with transurethral cystolithotripsy by pneumatic and ultrasound lithotripsy in the treatment of bladder calculi with benign prostate hyperplasia
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摘要 目的:探讨一期腔内治疗BPH并发膀胱结石的有效治疗方法。方法:采用TURP联合肾镜下气压弹道及超声碎石清石术治疗BPH并发膀胱结石43例。结果:43例均一次手术成功,无输血,无膀胱穿孔、TURP综合征及严重感染等并发症发生。术后复查KUB,膀胱内均未见结石残留,清石率达100%。住院5~7天。最大尿流率较术前明显改善。结论:TURP联合肾镜下气压弹道及超声碎石清石术治疗BPH并发膀胱结石,创伤小,恢复快,安全高效,是治疗BPH并发膀胱结石的理想方法。 Objective:To study the effective treatment for patients with benign prostate hyperplasia (BPH) complicated with vesical calculi. Methods: Forty-three cases of BPH with vesical calculi were treated with pneumatic and ultrasonic lithotripsy followed by transurethral resection of the prostate (TURP). Results: All operations were successful, and complete stone clearance was achieved in all cases. No vesical perforation, severe infection and TURP syndrome were complicated. The postoperative hospitalization was 5-7 days. Conclusions:TURP with transurethral cystolithotripsy by pneumatic and ultrasound lithotripsy seems to be an effective and safe method for patients with BPH and bladder calculi.
出处 《临床泌尿外科杂志》 2008年第2期109-110,共2页 Journal of Clinical Urology
关键词 前列腺增生症 膀胱结石 经尿道前列腺电切术 碎石术 Prostate hyperplasia Vesical calculi Transurethral resection of prostate Lithotripsy
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参考文献5

  • 1Varkarakis J, Bartsch G, Hominger W, et al. Long-term morbidity and mortality of transurethral prostatectomy: a 10-year follow-up[J]. Prostate, 2004, 58(3): 248.
  • 2Olbert P, Weber J, Hegele A, et al. Combining Lithoclast and ultrasound power in one device for percutaneous nephrolithotomy: in vitro results of a novel and highly effective technology[J]. Urology, 2003, 61:55-59.
  • 3Auge BK, Lallas CD, Pietrow PK, et al. In vitro comparison of standard ultrasound and pneumatic lithotrites with a new combination intracorporeal lithotripsy device [J]. Urology, 2002 , 60(1):28-32.
  • 4Hofmann R, Olbert P, Weber J, et al. Clinical experience with a new ultrasonic and LithoClast combination for percutaneous litholapaxy [J].BJU Int, 2002,90(1): 16-19.
  • 5Pietrow PK, Auge BK, Zhong P, et al. Clinical efficacy of a combination pneumatic and ultrasonic lithotrite [J]. J Urol, 2003, 169: 1247-1249.

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