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目的分析前列腺增生合并输尿管结石的同期微创治疗疗效。方法 69例前列腺增生合并输尿管结石的患者作为研究对象,对其使用经尿道前列腺电气化术和钬激光碎石术进行同期微创治疗。结果 69例患者当中有62例患者原位碎石成功,手术成功率为89.9%,复检后,患者的碎石排尽率为95.7%。碎石后对患者进行经尿道前列腺电气化术,患者的最大尿流率、生活质量评分以及残余尿量分别为(22.1±4.7)ml/s、(2.5±0.5)分和(78±80)ml。结论前列腺增生合并输尿管结石的治疗中,使用同期经尿道前列腺电气化术和钬激光碎石术相比于传统手术期安全性更高,治疗效果也更加明显。
Objective To analyze the curative effect of minimally invasive treatment of benign prostatic hyperplasia combined with ureteral calculi during the same period. Methods A total of 69 patients with benign prostatic hyperplasia and ureteral calculi underwent minimally invasive minimally invasive percutaneous transurethral electrovaporization of the prostate and holmium laser lithotripsy. RESULTS: Of the 69 patients, 62 patients were successfully treated with gravel in situ. The successful rate was 89.9%. After the re-examination, the rate of gravel discharge was 95.7%. The patients underwent transurethral electrovaporization of the prostate after gravel. The maximum urinary flow rate, quality of life score and residual urine volume were (22.1 ± 4.7) ml / s, (2.5 ± 0.5) and (78 ± 80) ml . Conclusions In the treatment of benign prostatic hyperplasia combined with ureteral calculi, the use of simultaneous transurethral electrostatical electrovaporization and holmium laser lithotripsy is more safe than conventional surgery, and the treatment effect is more obvious.