CAJ | 학술논문

目的：探讨TURP联合腔内碎石治疗良性前列腺增生（BPH）合并膀胱结石的临床疗效。方法：分析TURP联合经尿道钬激光碎石、气压弹道碎石治疗BPH并膀胱结石患者36例临床资料。结果：36例均一次性取尽结石，顺利完成TURP。膀胱结石碎石取石时间平均约39 min（15~80 min），TURP时间平均约58 min（45~85 min）。出血量平均约120 ml（40~280 ml）。无TURP综合征、膀胱穿孔、水中毒及严重感染等并发症出现。术后无结石残留，恢复良好，IPSS（国际前列腺症状评分）较术前明显改善。结论：采用TURP联合经尿道钬激光碎石、气压弹道碎石同期治疗BPH合并膀胱结石是一种安全高效的治疗方法。
목적：탐토TURP연합강내쇄석치료량성전렬선증생（BPH）합병방광결석적림상료효。방법：분석TURP연합경뇨도화격광쇄석、기압탄도쇄석치료BPH병방광결석환자36례림상자료。결과：36례균일차성취진결석，순리완성TURP。방광결석쇄석취석시간평균약39 min（15~80 min），TURP시간평균약58 min（45~85 min）。출혈량평균약120 ml（40~280 ml）。무TURP종합정、방광천공、수중독급엄중감염등병발증출현。술후무결석잔류，회복량호，IPSS（국제전렬선증상평분）교술전명현개선。결론：채용TURP연합경뇨도화격광쇄석、기압탄도쇄석동기치료BPH합병방광결석시일충안전고효적치료방법。
Objective:To evaluate the therapeutic efficacy of transurethral resection of the prostate(TURP)combined with holmium laser and Pneumatic ballistic lithotripsy in the treatment of benign prostatic hyperplasia(BPH)with bladder stones.Method:Ballistic and holmium laser lithotripsy by outer sheath resectoscope and then TURP were performed on 58 patients with BPH companied with bladder stones.Result:The operations were completed successfully in all the cases with a mean lithotripsy time of 39 min(15-80 min),and mean TURP time of 58 min(45-85min). mean blood loss 120 ml(40-280 ml).No TUR syndrome,bladder perforation and Severe infection.no residual stone occurred during and after the operations.IPSS improved significantly compared with preoperation.Conclusion:Simultaneous transurethral cysto lithotripsy by holmium laser and pneumatic ballistic and TRUP is a safe and efficient approach for the treatment of BPH associated with bladder stones.