中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
6期
35-37
,共3页
前列腺增生%膀胱结石%经尿道前列腺电切手术
前列腺增生%膀胱結石%經尿道前列腺電切手術
전렬선증생%방광결석%경뇨도전렬선전절수술
Benign prostatic hyperplasia%Bladder stones%TURP surgery
目的：探讨膀胱结石对经尿道前列腺电切手术（TURP）患者疗效的影响。方法：回顾性分析本院泌尿外科2011年6月至2012年6月行TURP治疗的35例前列腺增生（BPH）合并膀胱结石患者及同期行TURP治疗的40例单纯性前列腺增生患者的临床资料，对比分析单纯性前列腺患者与合并膀胱结石患者术后1个月、3个月、6个月及12个月国际前列腺症状评分（IPSS），并对膀胱结石形态、大小、数量对TURP的影响进行分析。结果：单纯BPH组患者术后1个月、3个月、6个月及12个月IPSS评分显著低于BPH合并膀胱结石组，差异有统计学意义（P＜0.05）。单纯BPH组IPSS改善率为62.50％，BPH合并膀胱结石组IPSS改善率为80.00％，差异有统计学意义（P＜0.05）。BPH 合并结石组残余尿量及前膀胱出口梗阻（BOO）无统计学差异，但多发结石组残余尿量及BOO高于单发结石组，大结石组残余尿量及BOO高于小结石组，差异有统计学意义（P＜0.05）。结论：膀胱结石是影响TURP术后预后的重要因素，术前积极治疗膀胱结石对改善BPH合并膀胱结石TURP术后症状具有积极意义。
目的：探討膀胱結石對經尿道前列腺電切手術（TURP）患者療效的影響。方法：迴顧性分析本院泌尿外科2011年6月至2012年6月行TURP治療的35例前列腺增生（BPH）閤併膀胱結石患者及同期行TURP治療的40例單純性前列腺增生患者的臨床資料，對比分析單純性前列腺患者與閤併膀胱結石患者術後1箇月、3箇月、6箇月及12箇月國際前列腺癥狀評分（IPSS），併對膀胱結石形態、大小、數量對TURP的影響進行分析。結果：單純BPH組患者術後1箇月、3箇月、6箇月及12箇月IPSS評分顯著低于BPH閤併膀胱結石組，差異有統計學意義（P＜0.05）。單純BPH組IPSS改善率為62.50％，BPH閤併膀胱結石組IPSS改善率為80.00％，差異有統計學意義（P＜0.05）。BPH 閤併結石組殘餘尿量及前膀胱齣口梗阻（BOO）無統計學差異，但多髮結石組殘餘尿量及BOO高于單髮結石組，大結石組殘餘尿量及BOO高于小結石組，差異有統計學意義（P＜0.05）。結論：膀胱結石是影響TURP術後預後的重要因素，術前積極治療膀胱結石對改善BPH閤併膀胱結石TURP術後癥狀具有積極意義。
목적：탐토방광결석대경뇨도전렬선전절수술（TURP）환자료효적영향。방법：회고성분석본원비뇨외과2011년6월지2012년6월행TURP치료적35례전렬선증생（BPH）합병방광결석환자급동기행TURP치료적40례단순성전렬선증생환자적림상자료，대비분석단순성전렬선환자여합병방광결석환자술후1개월、3개월、6개월급12개월국제전렬선증상평분（IPSS），병대방광결석형태、대소、수량대TURP적영향진행분석。결과：단순BPH조환자술후1개월、3개월、6개월급12개월IPSS평분현저저우BPH합병방광결석조，차이유통계학의의（P＜0.05）。단순BPH조IPSS개선솔위62.50％，BPH합병방광결석조IPSS개선솔위80.00％，차이유통계학의의（P＜0.05）。BPH 합병결석조잔여뇨량급전방광출구경조（BOO）무통계학차이，단다발결석조잔여뇨량급BOO고우단발결석조，대결석조잔여뇨량급BOO고우소결석조，차이유통계학의의（P＜0.05）。결론：방광결석시영향TURP술후예후적중요인소，술전적겁치료방광결석대개선BPH합병방광결석TURP술후증상구유적겁의의。
Objectives:To investigate the effect of bladder stones on postoperative patients with transurethral resection of the prostate (TURP).Methods:The clinical date of 40 patients of simple benign prostatic hyperplasia (BPH)and 35 patients of both BPH and bladder stones after TURP surgery were retrospective analyzed from June 2011 to June 2012.The international prostate symptom score (IPSS)of simple BPH patients and patients with both BPH and bladder stones a month,3 months,6 months and 12 months after the surgery were compared.The effect of the shape,size and number of bladder stones on TURP was analyzed.Results:The IPSS of patients with simple BPH a month,3 months,6 months and 12 months after the treatment was lower than that of patient with both BPH and bladder stones,with statistical significance (P<0.05 ),and the IPSS improvement rate of the two groups were 62.50% and 80.00%respectively,with statistically significant difference (P<0.05).The residual urine volume and pre-bladder outlet obstruction (BOO)of patients with both BPH and bladder stones was of no significant difference, but multiple stones group and large stone group demonstrated higher residual urine volume and BOO than the single stone group and small stones group respectively;the difference was statistically significant (P<0.05).Conclusion:Bladder stones may significantly affect the prognosis of TURP,and preoperative active treatment of bladder stones is of positive importance in improving the prognosis of TURP for patients with both BPH and bladder stones.
