CAJ | 학술논문

目的：讨论前列腺增生（BPH）合并膀胱结石治疗方法和疗效。方法回顾39例前列腺增生合并膀胱结石的临床资料,分别采取耻骨上小切口膀胱切开取石和钬激光碎石等治疗方法，然后经尿道前列腺等离子双极电切术(TUPKP)。结果对于前列腺增生合并膀胱结石患者的治疗,根据结石大小、质地分别选用膀胱切开取石和钬激光碎石,均治愈。结论前列腺增生合并膀胱结石可以选用多种微创手术治疗,TUPKP联合钬激光治疗前列腺增生合并膀胱结石具有出血少、创伤小、并发症少、康复快、住院时间短的特点。
목적：토론전렬선증생（BPH）합병방광결석치료방법화료효。방법회고39례전렬선증생합병방광결석적림상자료,분별채취치골상소절구방광절개취석화화격광쇄석등치료방법，연후경뇨도전렬선등리자쌍겁전절술(TUPKP)。결과대우전렬선증생합병방광결석환자적치료,근거결석대소、질지분별선용방광절개취석화화격광쇄석,균치유。결론전렬선증생합병방광결석가이선용다충미창수술치료,TUPKP연합화격광치료전렬선증생합병방광결석구유출혈소、창상소、병발증소、강복쾌、주원시간단적특점。
Objective To explore an ef ective treatment for benign prostatic hyperplasia complicated with blader stones. Methods Using holmium laser lithotripsy and bipolar plasmakinetic technique in 39 cases with bladdstones and benign prostatic hyperplasia. Results The mean time of operation was 60 minutes ranging from 35~80 minutes.Urethral catheter was withdrawn in 3 ~5 days of postoperation and voiding was easy and smooth.No had complications suchas transurethral resection syndrome, hemorrhea and vesical perforation.The diagnosis of bnign prostatic hyperplasia was confirmed by pathology examination. After 3 months fol ow up survey,the average ISS marks decreased from 24. 5 marks before operation to 6 marks after operation and the max flow ratio (MFRgrew from the 5 ml/s before operation up to 20 ml/s after operation. Conclusion The method is characterizwith less bleeding, smal wound, less complications, quick recovery and short hospitalization time, which is a sand ef ective method for the treatment of senile BPH with vesical calculus.