安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2014年
8期
1533-1534,1535
,共3页
良性前列腺增生%膀胱结石%经尿道前列腺电切术
良性前列腺增生%膀胱結石%經尿道前列腺電切術
량성전렬선증생%방광결석%경뇨도전렬선전절술
benign prostatic hyperplasia%bladder calculi%the transurethral resection of the prostate
目的：探讨经尿道前列腺电切术（TURP）联合肾镜下弹道超声碎石系统在治疗良性前列腺增生（BPH）并发膀胱结石中的应用。方法回顾性分析该院采用TURP和瑞士EMS公司第四代弹道超声系统治疗BPH并发膀胱结石18例资料。分析其清石率、膀胱穿孔、前列腺电切综合征（TURS）、严重出血、全身感染并发症情况及术前与术后国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）比较。结果所有患者手术均一次成功，清石率达100％。手术中无膀胱穿孔、TU RS和全身感染并发症发生，1例患者术后出现血凝块填塞膀胱。术后随访3～11个月，平均6个月，所有患者均无膀胱结石复发。IPSS、QOL、Qmax与术前比较均有显著性差异（P＜0．001）。结论 TURP联合肾镜下弹道超声碎石系统治疗BPH并发膀胱结石是一种安全有效的微创治疗方法，值得在临床上推广。
目的：探討經尿道前列腺電切術（TURP）聯閤腎鏡下彈道超聲碎石繫統在治療良性前列腺增生（BPH）併髮膀胱結石中的應用。方法迴顧性分析該院採用TURP和瑞士EMS公司第四代彈道超聲繫統治療BPH併髮膀胱結石18例資料。分析其清石率、膀胱穿孔、前列腺電切綜閤徵（TURS）、嚴重齣血、全身感染併髮癥情況及術前與術後國際前列腺癥狀評分（IPSS）、生活質量評分（QOL）、最大尿流率（Qmax）比較。結果所有患者手術均一次成功，清石率達100％。手術中無膀胱穿孔、TU RS和全身感染併髮癥髮生，1例患者術後齣現血凝塊填塞膀胱。術後隨訪3～11箇月，平均6箇月，所有患者均無膀胱結石複髮。IPSS、QOL、Qmax與術前比較均有顯著性差異（P＜0．001）。結論 TURP聯閤腎鏡下彈道超聲碎石繫統治療BPH併髮膀胱結石是一種安全有效的微創治療方法，值得在臨床上推廣。
목적：탐토경뇨도전렬선전절술（TURP）연합신경하탄도초성쇄석계통재치료량성전렬선증생（BPH）병발방광결석중적응용。방법회고성분석해원채용TURP화서사EMS공사제사대탄도초성계통치료BPH병발방광결석18례자료。분석기청석솔、방광천공、전렬선전절종합정（TURS）、엄중출혈、전신감염병발증정황급술전여술후국제전렬선증상평분（IPSS）、생활질량평분（QOL）、최대뇨류솔（Qmax）비교。결과소유환자수술균일차성공，청석솔체100％。수술중무방광천공、TU RS화전신감염병발증발생，1례환자술후출현혈응괴전새방광。술후수방3～11개월，평균6개월，소유환자균무방광결석복발。IPSS、QOL、Qmax여술전비교균유현저성차이（P＜0．001）。결론 TURP연합신경하탄도초성쇄석계통치료BPH병발방광결석시일충안전유효적미창치료방법，치득재림상상추엄。
Objective To explore the application of the transurethral resection of the prostate (TURP)combined with the system of pneumatic and ultrasonic lithotripsy under nephroscope in the treatment of benign prostatic hyperplasia (BPH)with bladder calculi. Methods The data of 18 cases of BPH with bladder calculi were retrospectively studied based on TURP combined with the system of pneumatic and ultrasonic lithotripsy under nephroscope.The stone-free rate,bladder perforation,transurethral resection syndrome (TURS),severe bleeding complications,systemic infection,preoperative and postoperative international prostate symptom score (IP-SS),quality of life score (QOL),maximum urinary flow rate (Qmax)were analyzed.Results All patients were successful in only one operation,and the stone-free rate was 100%.There were no bladder perforation,TURS and systemic infection in the operation.Postoper-ative bladder bloody tamponade occurred in one patient.We did not find bladder calculi among all patients who were followed up for 3 to 11 months,an average of6 months.IPSS,QOL,Qmax compared with preoperative had significant differences (P <0.001).Conclu-sions TURP combined with the system of the pneumatic and ultrasonic lithotripsy under nephroscope in the treatment of BPH with bladder calculi is safe,effective and minimally invasive,which is worth popularizing in clinic.
