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目的探讨前列腺汽化电切术联合药物治疗良性前列腺增生(BPH)合并膀胱结石(CP)患者的临床疗效。方法随机选取2013年1月至2014年9月海城市中心医院收治的BPH合并CP患者50例为研究对象,均采用前列腺汽化电切术联合口服非那雄胺片、盐酸特拉唑嗪片进行治疗,观察治疗前后患者膀胱残余尿量、最大尿流量、国际前列腺症状评分、生命质量评分、前列腺体积变化情况及药物不良反应。结果 50例患者取石成功率为100.0%,治疗后患者膀胱残余尿量、最大尿流量、国际前列腺症状评分、前列腺体积显著下降,生命质量评分显著升高,与治疗前比较,差异均有统计学意义(均P<0.05);药物不良反应以口干、性欲减退为主,患者可耐受,安全性较好。结论前列腺汽化电切术联合药物治疗BPH合并CP安全性高,治疗效果更显著。
Objective To investigate the clinical efficacy of prostatectomy combined with drug treatment of patients with benign prostatic hyperplasia (BPH) and bladder calculi (CP). Methods A total of 50 patients with BPH complicated with CP who were treated in Central Hospital of Haicheng from January 2013 to September 2014 were selected as the study subjects. Prostate vaporization combined with oral administration of finasteride tablets and terazosin hydrochloride tablets The residual bladder volume, maximum urinary flow rate, international prostate symptom score, quality of life score, prostate volume change and adverse drug reactions were observed before and after treatment. Results The success rate of stone retrieval in 50 patients was 100.0%. After treatment, residual bladder volume, maximal urinary flow, International Prostate Symptom Score, Prostate volume and Prostate volume were significantly decreased, and the quality of life scores were significantly increased. The differences were statistically significant Significance (all P <0.05); adverse drug reactions to dry mouth, loss of libido-based patients tolerated, better security. Conclusions Prostate vaporization combined with drug treatment of BPH with CP is safe and the treatment effect is more remarkable.