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目的:比较不同术式治疗良性前列腺增生合并膀胱结石的临床疗效。方法:选取2012年6月至2014年5月我院收治的良性前列腺增生合并膀胱结石患者96例,按照手术方式不同分成观察组和对照组各48例,观察组采用前列腺电切术+经皮肾镜气压弹道碎石术,对照组采用前列腺电切术+尿道电切镜取石术,观察两组手术成功率、取石时间、膀胱冲洗时间、导尿管留置时间和住院时间。结果:两组手术成功率均为100%,术后无严重并发症发生;观察组取石时间、导尿管留置时间和住院时间明显少于对照组(P<0.05),两组在膀胱冲洗时间上比较无显著差异(P>0.05)。结论:良性前列腺增生合并膀胱结石采用前列腺电切术+经皮肾镜气压弹道碎石术效果优于前列腺电切术+尿道电切镜取石术。
Objective: To compare the clinical effects of different surgical procedures in the treatment of benign prostatic hyperplasia with bladder stones. Methods: A total of 96 patients with benign prostatic hyperplasia (BPH) complicated with bladder stone admitted in our hospital from June 2012 to May 2014 were selected and divided into observation group (48 cases) and control group (48 cases) according to different surgical methods. The observation group was treated by transurethral resection of the prostate + percutaneous Nephroscopic pneumatic lithotripsy, the control group using prostatectomy + urethral resection lithotomy, the success rate of surgery, stone retrieval time, bladder irrigation time, urinary catheter retention time and hospital stay. Results: The success rate of operation was 100% in both groups. No serious complication occurred after operation. The time of taking stone, catheter indwelling time and hospital stay in the observation group were significantly less than those in the control group (P <0.05) There was no significant difference (P> 0.05). Conclusion: Benign prostatic hyperplasia with bladder resection by prostatectomy + percutaneous nephrolithotracheal lithotripsy is superior to prostatectomy + urethral resection lithotomy.