安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2015年
5期
903-906
,共4页
黄健%黄涛%蒋玖金%吕建军
黃健%黃濤%蔣玖金%呂建軍
황건%황도%장구금%려건군
前列腺增生症%尿路结石%前列腺电切术%碎石术
前列腺增生癥%尿路結石%前列腺電切術%碎石術
전렬선증생증%뇨로결석%전렬선전절술%쇄석술
benign prostatic hyperplasia%urinary calculi%transurethral resection of prostate%lithotripsy
目的:评估经尿道前列腺电切术(TURP)联合第三代瑞士气压弹道碎石联合超声碎石吸附设备(EMS)经尿道同期治疗良性前列腺增生(BPH)合并尿路结石患者的临床疗效。方法回顾性分析该科2011年4月—2014年7月37例良性前列腺合并尿路结石的患者资料,先采用输尿管镜配合气压弹道碎石术治疗输尿管结石,肾镜下气压弹道及超声碎石清石术治疗膀胱结石,而后采用经尿道前列腺电切术(TURP)治疗BPH。结果效果良好,37例患者均一次手术成功,所有结石一次性被清除,无大出血,膀胱穿孔,水中毒,严重感染及尿失禁等并发症,但有1例尿道外口狭窄经行尿道扩张治愈。术后复查KU B显示尿路内无结石残留,随访3~12个月,所有患者无结石复发。结论 TURP联合EMS手术具有创伤小,操作方式简单,手术时间短,术后恢复快,安全,并发症少等优点,是治疗BPH并尿路结石简单而有效方法。
目的:評估經尿道前列腺電切術(TURP)聯閤第三代瑞士氣壓彈道碎石聯閤超聲碎石吸附設備(EMS)經尿道同期治療良性前列腺增生(BPH)閤併尿路結石患者的臨床療效。方法迴顧性分析該科2011年4月—2014年7月37例良性前列腺閤併尿路結石的患者資料,先採用輸尿管鏡配閤氣壓彈道碎石術治療輸尿管結石,腎鏡下氣壓彈道及超聲碎石清石術治療膀胱結石,而後採用經尿道前列腺電切術(TURP)治療BPH。結果效果良好,37例患者均一次手術成功,所有結石一次性被清除,無大齣血,膀胱穿孔,水中毒,嚴重感染及尿失禁等併髮癥,但有1例尿道外口狹窄經行尿道擴張治愈。術後複查KU B顯示尿路內無結石殘留,隨訪3~12箇月,所有患者無結石複髮。結論 TURP聯閤EMS手術具有創傷小,操作方式簡單,手術時間短,術後恢複快,安全,併髮癥少等優點,是治療BPH併尿路結石簡單而有效方法。
목적:평고경뇨도전렬선전절술(TURP)연합제삼대서사기압탄도쇄석연합초성쇄석흡부설비(EMS)경뇨도동기치료량성전렬선증생(BPH)합병뇨로결석환자적림상료효。방법회고성분석해과2011년4월—2014년7월37례량성전렬선합병뇨로결석적환자자료,선채용수뇨관경배합기압탄도쇄석술치료수뇨관결석,신경하기압탄도급초성쇄석청석술치료방광결석,이후채용경뇨도전렬선전절술(TURP)치료BPH。결과효과량호,37례환자균일차수술성공,소유결석일차성피청제,무대출혈,방광천공,수중독,엄중감염급뇨실금등병발증,단유1례뇨도외구협착경행뇨도확장치유。술후복사KU B현시뇨로내무결석잔류,수방3~12개월,소유환자무결석복발。결론 TURP연합EMS수술구유창상소,조작방식간단,수술시간단,술후회복쾌,안전,병발증소등우점,시치료BPH병뇨로결석간단이유효방법。
Objective To evaluate the efficacy of simultaneous transurethraltreatment for the patients with benign prostatic hyperplasia (BPH)and urinary calculi by TURP with EMS.Methods A retrospective study was performed on 37 patients with BPH and urinary calculi from April 201 1 to July 2014.The vesical calculi were treated with transurethral cystolithotripsy by pneumatic and ultrasonic lithotripsy,and the ureteral calculi were treated with transurethral ureteroscopy by pneumatic lithotripsy followed by transurethral resec-tion of the prostate (TURP).Results All 37 cases with BPH and urinary calculi were successfully treated in one treatment course,and no serious complications such as major haemorrhage,bladder perforation,water intoxication,severe infection and urinary incontinence have been observed .Only 1 case of urethral stricture was cured by urethra sounding.Postoperative KUB showed no residual urinary cal-culi,and patients were further observed for another 3 ~12 months,with no urinary calculi recurring.Conclusions TURP with EMS has advantages of minimal invasion,simple treatment modality,shorter operation time,quick recovery,and safety with less complication. This treatment seems to be an effective and safe method for patients with BPH and urinary calculi.