国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2013年
5期
589-591
,共3页
前列腺增生%膀胱结石
前列腺增生%膀胱結石
전렬선증생%방광결석
Prostatic Hyperplasia%Urinary Bladder Calculi
目的 比较经尿道大力碎石钳、气压弹道碎石和钬激光在良性前列腺增生(BPH)合并膀胱结石患者中碎石的疗效和安全性.方法 把BPH合并膀胱结石患者165例分为3组:Ⅰ组68例用大力碎石钳碎石后联合经尿道前列腺电切治疗；Ⅱ组51例经尿道气压弹道碎石后联合经尿道前列腺汽化电切治疗；Ⅲ组46例经尿道钬激光碎石后联合经尿道前列腺等离子双极电切治疗,对3组术中、术后并发症及碎石效果进行比较.结果 Ⅰ组术中发生前列腺或膀胱损伤、穿孔19例,因膀胱穿孔或结石无法粉碎改为开放手术23例,术后发生尿道狭窄9例,碎石成功率为62.0％ (42/68)；Ⅱ组碎石成功率为80.0％ (41/51),其中5例术中发生膀胱损伤、穿孔,因结石无法粉碎转为开放手术7例,术后发生尿道狭窄3例；Ⅲ组无术中并发症,46例全部碎石成功(46/46),术后6月发生尿道外口狭窄1例.三组之间的碎石成功率、术中并发症发生率、转开放手术率比较差异均有显著性(P＜0.05).结论 经尿道钬激光碎石联合经尿道前列腺等离子双极电切治疗BPH并膀胱结石是一种安全、高效的方法,可以作为首选.
目的 比較經尿道大力碎石鉗、氣壓彈道碎石和鈥激光在良性前列腺增生(BPH)閤併膀胱結石患者中碎石的療效和安全性.方法 把BPH閤併膀胱結石患者165例分為3組:Ⅰ組68例用大力碎石鉗碎石後聯閤經尿道前列腺電切治療；Ⅱ組51例經尿道氣壓彈道碎石後聯閤經尿道前列腺汽化電切治療；Ⅲ組46例經尿道鈥激光碎石後聯閤經尿道前列腺等離子雙極電切治療,對3組術中、術後併髮癥及碎石效果進行比較.結果 Ⅰ組術中髮生前列腺或膀胱損傷、穿孔19例,因膀胱穿孔或結石無法粉碎改為開放手術23例,術後髮生尿道狹窄9例,碎石成功率為62.0％ (42/68)；Ⅱ組碎石成功率為80.0％ (41/51),其中5例術中髮生膀胱損傷、穿孔,因結石無法粉碎轉為開放手術7例,術後髮生尿道狹窄3例；Ⅲ組無術中併髮癥,46例全部碎石成功(46/46),術後6月髮生尿道外口狹窄1例.三組之間的碎石成功率、術中併髮癥髮生率、轉開放手術率比較差異均有顯著性(P＜0.05).結論 經尿道鈥激光碎石聯閤經尿道前列腺等離子雙極電切治療BPH併膀胱結石是一種安全、高效的方法,可以作為首選.
목적 비교경뇨도대력쇄석겸、기압탄도쇄석화화격광재량성전렬선증생(BPH)합병방광결석환자중쇄석적료효화안전성.방법 파BPH합병방광결석환자165례분위3조:Ⅰ조68례용대력쇄석겸쇄석후연합경뇨도전렬선전절치료；Ⅱ조51례경뇨도기압탄도쇄석후연합경뇨도전렬선기화전절치료；Ⅲ조46례경뇨도화격광쇄석후연합경뇨도전렬선등리자쌍겁전절치료,대3조술중、술후병발증급쇄석효과진행비교.결과 Ⅰ조술중발생전렬선혹방광손상、천공19례,인방광천공혹결석무법분쇄개위개방수술23례,술후발생뇨도협착9례,쇄석성공솔위62.0％ (42/68)；Ⅱ조쇄석성공솔위80.0％ (41/51),기중5례술중발생방광손상、천공,인결석무법분쇄전위개방수술7례,술후발생뇨도협착3례；Ⅲ조무술중병발증,46례전부쇄석성공(46/46),술후6월발생뇨도외구협착1례.삼조지간적쇄석성공솔、술중병발증발생솔、전개방수술솔비교차이균유현저성(P＜0.05).결론 경뇨도화격광쇄석연합경뇨도전렬선등리자쌍겁전절치료BPH병방광결석시일충안전、고효적방법,가이작위수선.
Objectives To evaluate the therapeutic effect and safety of transurethral lithotrite,pneumatic lithotripsy and Ho:YAG laser lithotripsy in treating Benign prostatic hyperplaaia (BPH) complicated with bladder stones.Methods We divided a total of 165 cases of BPH complicated with bladder stones into 3 group.In group Ⅰ,68 case were performed of transurethral lithotrite lithotripsy combined with TURP; in group Ⅱ,51 cases received pneumatic lithotripsy combined with TUVP; in group Ⅲ,46 cases were performed of Ho:YAG laser lithotripsy combined with bipolar plasmakinetic prostatectomy,we compared the complication and effect of lithotripsy in and,after operation.Results h group Ⅰ,prostate and bladder neck injury happened in 19 cases,failure of lithotripsy are 23 case,another 9 cases had urethral stricture post-operation,the achievement ratio is 62.0％ (42/68) ; As in group Ⅱ,prostate and bladder neck injury happened in 5 cases,failure of lithotripsy are 7 case,another 3 cases had urethral stricture post-operation,the achievement ratio is 80.0％ (41/51) ; in group Ⅲ,there is no complication in the period of operation,all 46 cases succeeded in smashing the stones,only one case present urethral orifice stricture.There were remarkable differences in lithotripsy success rate and the rate of changing to open operations due to stones not crushed among three groups(P ＜0.05).Conclusions Ho:YAG laser lithotripsy combined with bipolar plasmakinetic prostatectomy is a safe and effective treatment modality for bladder stones with BPH.
