摘要
目的：探讨经皮肾镜碎石联合前列腺电切术治疗良性前列腺增生伴膀胱结石的临床效果。方法选取2013年6月至2015年10月良性前列腺增生伴膀胱结石患者66例，随机分组，每组33例。对照组经尿道电切镜钳取膀胱结石联合前列腺电切术治疗，观察组采用经皮肾镜碎石联合前列腺电切术，比较两组评分指标及手术指标。结果观察组 QOL[（4.7±0.9）分]、IPSS[（3.5±2.3）分]及最大尿流率[（20.2±4.1）ml/ s]优于对照组，观察组手术时间[（81.4±14.9）min]、住院时间[（11.8±1.6）d]、术中出血[（127.5±32.1）ml]和肠功能恢复时间[（40.8±5.5）h]均少于对照组，差异有统计学意义（P ＜0.05）。结论经皮肾镜碎石联合前列腺电切术治疗良性前列腺增生伴膀胱结石，可有效改善患者生活质量，缩短手术时间和住院时间，有助于肠功能恢复，值得推广应用。
Objective To investigate the effect of percutaneous nephrolithotomy combined with prostatectomy on benign prostatic hyperplasia with bladder calculi. Methods From June 2013 to October 2015,66 patients with benign prostatic hyperplasia with bladder calculi were selected,and were random-ly divided into the two groups,with 33 cases in each group. The control group was given transurethrall li-thotomy forceps and bladder calculi,the observation group was treated by percutaneous nephrolithotomy combined with prostatectomy. The evaluation indexes and operation indexes of the two groups were com-pared. Results QOL（4. 7 ±0. 9）,IPSS（3. 5 ±2. 3）and the maximum flow rate[（20. 2 ±4. 1）ml/ s] in the observation group were bertter than those in the control group,the surgery time[（81. 4 ± 14. 9）min],length of hospital stay[（11. 8 ± 1. 6）d],intraoperative bleeding[（127. 5 ± 32. 1）ml] and bowel function recovery time[（40. 8 ± 5. 5）h]in the observation group were less than those in the control group,the differences were significant（P 〈 0. 05）. Conclusions Percutaneous nephrolithotomy combined with prostatectomy in treatment of benign prostatic hyperplasia with bladder calculi,can effec-tively improve the patient’s quality of life,shorten the operation time and hospitalization time,help in-testines function recovery,so it is worth promoting.
出处
《中国实用医刊》
2016年第24期54-55,共2页
Chinese Journal of Practical Medicine
关键词
经皮肾镜碎石术
前列腺电切术
良性前列腺增生
膀胱结石
Percutaneous nephrolithotomy
Prostatectomy
Benign prostatic hyperplasia
Blad-der calculi
