齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
13期
1948-1949
,共2页
前列腺增生症%膀胱结石%输尿管镜弹道碎石术%临床疗效
前列腺增生癥%膀胱結石%輸尿管鏡彈道碎石術%臨床療效
전렬선증생증%방광결석%수뇨관경탄도쇄석술%림상료효
Benign prostatic hyperplasia%Bladder calculi%Ureteroscopic lithotripsy%Clinical effect
目的：探讨输尿管镜弹道碎石治疗前列腺增生症合并膀胱结石的临床疗效。方法采取回顾性方法对我院2013年1月至2014年12月间40例输尿管镜弹道碎石术治疗前列腺增生症合并膀胱结石的临床效果进行分析。结果本组的对象均顺利的完成手术，术中出血量为（113．7±55．8）ml；手术时间为（71．5±3．4）min；住院时间为（4．8±0．6）天。术后未见有1例患者出现尿道及膀胱误伤，恢复良好。手术前患者IPSS和MRF以及前列腺体积分别为（24．7±3．6）分、（6．5±1．4）ml／s、（56．8±12．8）ml；手术后患者IPSS和MRF以及前列腺体积分别为（8．4±1．6）分、（19．6±1．7）ml／s、（7．4±2．7）ml；手术后患者IPSS和MRF以及前列腺体积较手术前有明显的改善，且数据的比较差异有统计学意义（P＜0．05）。结论临床中对于前列腺增生症合并膀胱结石患者应用输尿管镜弹道碎石术治疗是可行的，效果确切，并发症少，值得临床中应用与推广。
目的：探討輸尿管鏡彈道碎石治療前列腺增生癥閤併膀胱結石的臨床療效。方法採取迴顧性方法對我院2013年1月至2014年12月間40例輸尿管鏡彈道碎石術治療前列腺增生癥閤併膀胱結石的臨床效果進行分析。結果本組的對象均順利的完成手術，術中齣血量為（113．7±55．8）ml；手術時間為（71．5±3．4）min；住院時間為（4．8±0．6）天。術後未見有1例患者齣現尿道及膀胱誤傷，恢複良好。手術前患者IPSS和MRF以及前列腺體積分彆為（24．7±3．6）分、（6．5±1．4）ml／s、（56．8±12．8）ml；手術後患者IPSS和MRF以及前列腺體積分彆為（8．4±1．6）分、（19．6±1．7）ml／s、（7．4±2．7）ml；手術後患者IPSS和MRF以及前列腺體積較手術前有明顯的改善，且數據的比較差異有統計學意義（P＜0．05）。結論臨床中對于前列腺增生癥閤併膀胱結石患者應用輸尿管鏡彈道碎石術治療是可行的，效果確切，併髮癥少，值得臨床中應用與推廣。
목적：탐토수뇨관경탄도쇄석치료전렬선증생증합병방광결석적림상료효。방법채취회고성방법대아원2013년1월지2014년12월간40례수뇨관경탄도쇄석술치료전렬선증생증합병방광결석적림상효과진행분석。결과본조적대상균순리적완성수술，술중출혈량위（113．7±55．8）ml；수술시간위（71．5±3．4）min；주원시간위（4．8±0．6）천。술후미견유1례환자출현뇨도급방광오상，회복량호。수술전환자IPSS화MRF이급전렬선체적분별위（24．7±3．6）분、（6．5±1．4）ml／s、（56．8±12．8）ml；수술후환자IPSS화MRF이급전렬선체적분별위（8．4±1．6）분、（19．6±1．7）ml／s、（7．4±2．7）ml；수술후환자IPSS화MRF이급전렬선체적교수술전유명현적개선，차수거적비교차이유통계학의의（P＜0．05）。결론림상중대우전렬선증생증합병방광결석환자응용수뇨관경탄도쇄석술치료시가행적，효과학절，병발증소，치득림상중응용여추엄。
Objective To investigate the clinical efficacy of ureteroscopic lithotripsy in the treatment of benign prostatic hyperplasia complicated with bladder stones .Methods Retrospectively analyzed the clinical effect of ureteroscopic lithotripsy in the treatment of 40 cases of patients with benign prostatic hyperplasia complicated with bladder stones in our hospital from January 2013 to December 2014.Results The objects of this group received operation successfully , intra-operative bleeding volume was (113.7 ±55.8) ml, operation time was (71.5 ±3.4) minutes, hospitalization time was (4.8 ±0.6) days.None accidentally injure on urethra and bladder occurred , all of them with good recovery .Preoperative IPSS and MRF and prostate volume in patients were (24.7 ±3.6)%, (6.5 ±1.4) ml/s, (56.8 ±12.8) ml.After the operation IPSS and MRF and prostate volume in patients were (8.4 ±1.6) %, (19.6 ±1.7) ml/s, (7.4 ±2.7) ml.IPSS and MRF and prostate volume in patients improved obviously after the operation and there were significant difference between the datas ( P <0.05).Conclusions Ureteroscopic lithotripsy is feasible in the treatment of benign prostatic hyperplasia with bladder stones , it is effective and with less complications , worthy of promotion and application in clinical practice .
