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目的:对前列腺增生合并膀胱结石的三种不同腔内碎石治疗效果进行比较。方法:选择我院2012年8月-2014年8月间84例前列腺增生合并膀胱结石的患者,将所有患者分为三组,1组采用大力碎石钳碎石,2组采用气压弹道碎石;3组采用钬激光碎石,患者碎石成功后均进行前列腺切除术,对三组患者的治疗效果进行比较。结果:1组患者手术时间平均为(89.8±46.2)min;2组患者手术时间平均为(63.5±21.8)min;2组患者手术时间平均为(41.5±12.5)min,三组比较存在明显差异,P<0.05。三个组碎石成功人数、术中转开腹人数、膀胱穿孔人数、尿道狭窄比较存在明显差异,3组患者状况要好于其他两组,P<0.05。结论:经尿道钬激光碎石术安全性最高。
OBJECTIVE: To compare the efficacy of three different endovascular lithotripsy treatments for benign prostatic hyperplasia with bladder stones. Methods: Eighty-four patients with benign prostatic hyperplasia complicated with bladder stones were selected from August 2012 to August 2014 in our hospital. All patients were divided into three groups. One group was treated with pound stone lithotripsy, the other two groups were treated by pneumatic lithotripsy ; Three groups were treated with holmium laser lithotripsy, the patients were successfully treated by prostatectomy, the treatment effect of three groups of patients were compared. Results: The average operation time was (89.8 ± 46.2) min in 1 group and 63.5 ± 21.8 min in 2 groups. The average operation time was (41.5 ± 12.5) min in both groups, with significant difference between the three groups , P <0.05. There were significant differences between the three groups in the number of successful grafting, the number of intraoperative laparotomy, the number of bladder perforation and urethral stricture. The status of the three groups was better than the other two groups (P <0.05). Conclusion: Transurethral holmium laser lithotripsy is the safest.