CAJ | 학술논문

目的：探讨良性前列腺增生合并膀胱结石的治疗方法。方法采用经尿道前列腺电切术（TURP）联合经腹腔镜套管针（Trocar）取出结石治疗BPH并发膀胱结石32例。结果32例中单发结石23例，2块结石4例，多发结石5例。结石大小为1.5cm~3.0cm。除4例因结石太多（分别为3~183块），反复进出Trocar使膀胱造瘘通道迷失而失败外，其余28例均成功。未出现膀胱穿刺通道漏尿、延迟愈合、感染等并发症。结论前列腺增生并发膀胱结石的患者，采用经尿道前列腺电切联合Trocar膀胱穿刺取石是一种可行的操作，达到微创治疗的目的。
목적：탐토량성전렬선증생합병방광결석적치료방법。방법채용경뇨도전렬선전절술（TURP）연합경복강경투관침（Trocar）취출결석치료BPH병발방광결석32례。결과32례중단발결석23례，2괴결석4례，다발결석5례。결석대소위1.5cm~3.0cm。제4례인결석태다（분별위3~183괴），반복진출Trocar사방광조루통도미실이실패외，기여28례균성공。미출현방광천자통도루뇨、연지유합、감염등병발증。결론전렬선증생병발방광결석적환자，채용경뇨도전렬선전절연합Trocar방광천자취석시일충가행적조작，체도미창치료적목적。
Objective To evaluate treatment methods for benign prostatic hyperplasia ( BPH) combined with bladder stones. Methods A total of 32 BPH patients with bladder calculi underwent transurethral resection of the prostate combining with laparoscopic Trocar suprapubic lithotomy. Results Twenty-three of 32 patients had single calculi,4 patients had 2 piece of stone and 5 patients multiple stones. Stone size ranged from 1.5 cm to 3.0 cm. The treatment for 4 cases with much more stone was faliure due to bladder colostomy channel failure and the other 28 cases were successful. Bladder puncture channel leakage, delayed union, complication such as infection did not occur. Conclusion For BPH patients with bladder stones, transurethral resection of prostate combining with laparoscopic Trocar therapy is a feasible operation, and it realize the purpose of intracavitary treatment completely.