CAJ | 학술논문

目的：研究通过不同的手术方法对良性前列腺增生合并膀胱结石的患者进行治疗的临床效果。方法：对本院2010年1月-2013年1月期间接受治疗的100例良性前列腺增生合并膀胱结石患者的资料进行回顾性分析，将患者按照手术方式分成观察组和对照组，每组50例，其中对照组手术方式为在尿道的直视下将电切镜插入，然后分次使用钳取出膀胱内结石；而观察组患者手术方式则是采用经过皮肾镜，利用气压弹道碎石机对膀胱实施气压弹道的碎石，然后行前列腺的电切术。对比观察两组患者的取石时间和总的手术时间以及膀胱的冲洗时间，记录留置导尿的时间以及住院时间。结果：两组患者在取石时间、总手术时间、膀胱冲洗时间、留置导尿时间和住院时间上比较差异均无统计学意义（P>0.05）。结论：在临床上采取两种手术方法均可以治疗良性前列腺增生合并膀胱结石。
목적：연구통과불동적수술방법대량성전렬선증생합병방광결석적환자진행치료적림상효과。방법：대본원2010년1월-2013년1월기간접수치료적100례량성전렬선증생합병방광결석환자적자료진행회고성분석，장환자안조수술방식분성관찰조화대조조，매조50례，기중대조조수술방식위재뇨도적직시하장전절경삽입，연후분차사용겸취출방광내결석；이관찰조환자수술방식칙시채용경과피신경，이용기압탄도쇄석궤대방광실시기압탄도적쇄석，연후행전렬선적전절술。대비관찰량조환자적취석시간화총적수술시간이급방광적충세시간，기록류치도뇨적시간이급주원시간。결과：량조환자재취석시간、총수술시간、방광충세시간、류치도뇨시간화주원시간상비교차이균무통계학의의（P>0.05）。결론：재림상상채취량충수술방법균가이치료량성전렬선증생합병방광결석。
Objective:To study the clinical effects of patients with different operating methods treating benign prostatic hyperplasia combined with cystolith. Method:Retrospective analysis were done in 100 patients with benign prostatic hyperplasia combined with cystolith treatment from January 2010 to January 2013 in our hospital. The patients were randomly divided into observation group and control group according to operating methods and each group had 50 patients.The operating method of the observation group was to insert resectoscope under the orthophoria of urethral and take out of the stones in cystolith by pincers. Operating method of observation group was to adopt nephroscope and use air pressure trajectory stone breaker to break the stones for bladder. Electrocision of prostate were done.Stone-taking time,total operating time,washing time of bladder,retention catheterization time,and hospital stays time of two groups were compared. Result:The differences of stone-taking time,total operating time,washing time of bladder,retention catheterization time,and hospital stays time in two groups had no statistic significance(P>0.05). Conclusion:The two operating methods can be adopted in the clinic to treating the patients suffering from benign prostatic hyperplasia combined with cystolith.