摘要
目的评价同期腔内治疗高危前列腺增生症伴膀胱结石的效果。方法行肾镜下第四代EMS超声气压弹道碎石术,同时行经尿道前列腺等离子电切除术,分析其治疗85例高危前列腺增生症伴膀胱结石患者的临床疗效。结果均同期完成85例患者的治疗,手术平均时间60min。术中平均出血量是100m L,未出现膀胱穿孔、前列腺电切综合征及威胁生命的并发症。随访6个月,无复发结石及尿失禁及尿道狭窄或其他并发症。国际前列腺症状评分(IPSS)、最大尿流率及残余尿量,对比差异有统计学意义(P<0.05)。结论高危前列腺增生症伴膀胱结石的患者,做好充分围手术期准备,同时行肾镜下超声气压弹道碎石术和经尿道前列腺等离子电切术的手术是安全的,效果是令人满意的。
Objective To evaluate the endourological treatment of high-risk benign prostatic hyperplasia( BPH) with blad-der stone at equal pace. Methods The clinical data of 85 cases with high-risk BPH complicated with bladde stones treated by ne-phroscope in pneumatic and ultrasonic lithotripsy by EMS IV of Switzerland with Transurethral Resection of Prostate were reviewed retrospectively. Results 85 cases were successfully operated with endourological treatment simultaneously. The mean operating time was 60 minutes and the mean blood loss was 100mL. No postoperative vesical perforation,water intoxication and life threaten-ing complications were noted. No recurrence of stones,nonrethral stenosis or other complications had occurred after a median follow up of 6 months. IPSS, maximal flow rate and residual urine were evidently improved after operation(P<0. 05). Conclusion With fully preoperative assessment,the combination of TUPKRP and nephroscope in pneumatic and ultrasonic lithotripsy is a practical. safe and effective approach for high-risk BPH complicated with bladder stone of the elderly patients.
出处
《四川医学》
CAS
2014年第11期1455-1457,共3页
Sichuan Medical Journal
关键词
高危
前列腺增生症
膀胱结石
经尿道前列腺等离子电切术
肾镜下超声气压弹道碎石术
high-risk
benign prostatic hyperplasial
bladder stone
transurethral resection of prostate
nephroscope in pneumatic and ultrasonic lithotripsy
