CAJ | 학술논문

目的：分析前列腺增生合并膀胱结石的腔内治疗效果。方法选取98例前列腺增生合并膀胱结石者且按照1∶1比例将其分为观察组和对照组，每组49例。其中观察组采取经尿道前列腺电切除术结合肾镜下超声吸附联合气压弹道碎石术、对照组采取传统手术，同时对两组患者手术效果、手术情况、机体功能指标恢复和手术创伤心理评分加以观察和所得数据的处理分析。结果两组患者治疗总有效率均为100.00％；而两组患者手术时间、IPSS评分、Qmax、Ru比较差异无统计学意义（P>0.05），但术中出血量、膀胱冲洗时间、导尿管留置时间以及平均住院时间比较差异有统计学意义（P<0.05）；同时观察组患者躯体化、强迫、抑郁、焦虑、恐惧、偏执评分及总分较对照组低（P<0.05）。结论腔内治疗前列腺增生合并膀胱结石效果显著，且安全可靠、住院时间短。
목적：분석전렬선증생합병방광결석적강내치료효과。방법선취98례전렬선증생합병방광결석자차안조1∶1비례장기분위관찰조화대조조，매조49례。기중관찰조채취경뇨도전렬선전절제술결합신경하초성흡부연합기압탄도쇄석술、대조조채취전통수술，동시대량조환자수술효과、수술정황、궤체공능지표회복화수술창상심리평분가이관찰화소득수거적처리분석。결과량조환자치료총유효솔균위100.00％；이량조환자수술시간、IPSS평분、Qmax、Ru비교차이무통계학의의（P>0.05），단술중출혈량、방광충세시간、도뇨관류치시간이급평균주원시간비교차이유통계학의의（P<0.05）；동시관찰조환자구체화、강박、억욱、초필、공구、편집평분급총분교대조조저（P<0.05）。결론강내치료전렬선증생합병방광결석효과현저，차안전가고、주원시간단。
Objective To analyze the effect of endovascular treatment for benign prostatic hyperplasia complicated with bladder stones. Methods 98 cases of benign prostatic hyperplasia complicated with bladder stones were randomly divided into the observation group and the control group , 49 cases in each group. The observation group received the transurethral resection of the prostate and nephroscope ultrasonic absorption combined with pneumatic lithotripsy, the control group received the traditional operation. The effects, surgical situation, recovery of body function indicators and surgical trauma psychological ratings were observed and analyzed. Results Total efifciency of two groups were 100.00%. There were no signiifcant differences in operation time, IPSS, Qmax and Ru (P>0.05). While there were signiifcant differences in the amount of bleeding, bladder irrigation time Indwelling catheter time and average hospitalization time (P<0.05). The scores of somatization, compulsion, depression, anxiety, fear, paranoia in observation group were signiifcantly lower than that in control group (P<0.05). Conclusion Endovascular treatment had advantages in signiifcant effect, safety and short hospitalization time in the treatment of benign prostatic hyperplasia complicated with bladder stones.