CAJ | 학술논문

目的：探讨同期腔内治疗前列腺增生合并输尿管结石的可行性及临床疗效。方法回顾性分析2009年3月至2013年4月收治的行腔内同期治疗前列腺增生合并输尿管结石62例患者的临床资料。结果62例患者中59例原位碎石成功，其中3例输尿管上段结石滑入肾盂，1例进镜至肾盂将结石击碎，2例行体外冲击波碎石成功。术后4~6d拔出尿管，2例出现暂时性尿失禁，术后3~4周复查彩超检查未见结石残留。结论腔镜下同期行输尿管镜下钬激光碎石术和经尿道前列腺气化电切术治疗前列腺增生合并输尿管结石，疗效满意，并发症少，值得临床推广。
목적：탐토동기강내치료전렬선증생합병수뇨관결석적가행성급림상료효。방법회고성분석2009년3월지2013년4월수치적행강내동기치료전렬선증생합병수뇨관결석62례환자적림상자료。결과62례환자중59례원위쇄석성공，기중3례수뇨관상단결석활입신우，1례진경지신우장결석격쇄，2례행체외충격파쇄석성공。술후4~6d발출뇨관，2례출현잠시성뇨실금，술후3~4주복사채초검사미견결석잔류。결론강경하동기행수뇨관경하화격광쇄석술화경뇨도전렬선기화전절술치료전렬선증생합병수뇨관결석，료효만의，병발증소，치득림상추엄。
Objective To evaluate the feasibility and curative effect of simultaneous endoscopic treatment of benign prostate hyperplasia and ureteral calculi. Methods There were 62 Pafients who underwent simultaneous transurethral resection of the prostate and ureteroscopic lithotripsy for benign prostate hyperplasia and ureteral calculi from March 2009 to April 2013 in our hospital, the data were analyzed retrospectively. Results Of the 62 cases,the calculi were broken and removed successfully in 59 patients. Retrograde stone displacement occurred in another 3 patients,Of the 3 patients,2 patients with ureteral calculi were successful removed after ESWL,and the last one has ben broken by ureteroscopy in renal pelvis.TUVP was performed successfully in all patients without serious complications,only 2 patients have been transient postoperative incontinence. Conclusion Patients with BPH and ureteral calculi Call be treated with TUVP and URSL simultaneously with good effect and httle serious complications.