CAJ | 학술논문

目的探讨经尿道前列腺等离子剜出术加膀胱切开取石处理高龄高危前列腺增生合并膀胱多发结石的疗效.方法对13例高龄高危良性前列腺增生并发膀胱多发结石患者采取经尿道前列腺等离子剜出术加膀胱切开取石术进行治疗.结果该组患者经尿道前列腺等离子剜出术手术时间50～60min,平均56.5min;膀胱切开取石术时间20～25min,平均22min.13例患者均安全度过围手术期.术后排尿通畅,无手术切口感染.结论同期行经尿道前列腺等离子剜出术加膀胱切开取石处理高龄高危前列腺增生合并膀胱多发结石方法简单,创伤小、手术时间短,疗效旨定,值得推广.
목적 탐토경뇨도전렬선등리자완출술가방광절개취석처리고령고위전렬선증생합병방광다발결석적료효.방법 대13례고령고위량성전렬선증생병발방광다발결석환자채취경뇨도전렬선등리자완출술가방광절개취석술진행치료.결과 해조환자경뇨도전렬선등리자완출술수술시간50～60min,평균56.5min;방광절개취석술시간20～25min,평균22min.13례환자균안전도과위수술기.술후배뇨통창,무수술절구감염.결론 동기행경뇨도전렬선등리자완출술가방광절개취석처리고령고위전렬선증생합병방광다발결석방법간단,창상소、수술시간단,료효지정,치득추엄.
Objective To explore the efficacy of transurethral plasmakinetic enucleation of prostate in combination with suprapabic lithotomy for elder patients with benign prostatic hyperplasia and multiple bladder stones. Methods Transurethral plasmakinetic enucleation of prostate in combination with suprapabic lithotomy was performed on 13 elder patients with benign prostatic hyperplasia and multiple bladder stones. Results All the patients received active postoperative treatment for complications. After their general health status became better, transurethral plasmakinetic enucleation of prostate was performed prior to suprapabic lithotomy. All the patients safely spent the perioperative period and had normal postoperative urination and no incision infection. Conclusions Transurethral plasmakinetic enucleation of prostate plus suprapabic lithotomy for benign prostatic hyperplasia and multiple bladder stones is simple and effective, has smaller incisions and shorter surgical duration, and is worth popularizing.