论文部分内容阅读
目的探讨前列腺增生合并膀胱结石有效的治疗方法。方法采用瑞士EMS第3代超声/弹道碎石清石系统(LithoClast Master)和经尿道前列腺汽化电切术(transurethral resection of the prostate,TURP)治疗前列腺增生合并膀胱结石33例。结果33例均一次手术成功,碎石时间15~65min平均35min;前列腺电切时间50~110min,平均85min。术中术后均无输血,无电切综合征、膀胱穿孔、结石残留等并发症。术后5d拔除尿管,无排尿困难、尿失禁等。病理结果均为良性前列腺增生。术后3个月,国际前列腺症状评分由(23.4±5.2)分下降至(7.4±1.2)分(t=3.732,P=0.000),最大尿流率由(5.4±1.5)ml/s升至(18.6±3.2)ml/s(t=2.491,P=0.015),生活质量评分由(3.9±1.2)分降至(2.0±0.7)分(t=2.454,P=0.014)。结论瑞士EMS第3代超声/弹道碎石清石系统和经尿道前列腺汽化电切术能有效治疗良性前列腺增生合并膀胱结石。
Objective To investigate the effective treatment of benign prostatic hyperplasia with bladder stones. Methods 33 cases of benign prostatic hyperplasia with bladder stones were treated with the Swiss EMS 3rd generation ultrasound / lithotripsy system and transurethral resection of the prostate (TURP). Results All the 33 cases were successful in one operation. The gravel time was 35min in 15-65min. The prostatic resection time was 50-110min with an average of 85min. No intraoperative blood transfusion, no power-cut syndrome, bladder perforation, residual stones and other complications. 5d after removal of the catheter, no dysuria, urinary incontinence and so on. Pathological findings are benign prostatic hyperplasia. At 3 months after surgery, the International Prostate Symptom Score decreased from (23.4 ± 5.2) points to (7.4 ± 1.2) points (t = 3.732, P = 0.000) and the maximum urinary flow rate increased from (5.4 ± 1.5) ml / (T = 2.491, P = 0.015). The quality of life score decreased from (3.9 ± 1.2) points to (2.0 ± 0.7) points (t = 2.454, P = 0.014). Conclusion The Swiss EMS 3rd generation ultrasound / lithotripsy lithotripsy and transurethral vaporization of the prostate can effectively treat benign prostatic hyperplasia with bladder stones.