中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
20期
17-18
,共2页
微创方法%前列腺增生症并膀胱结石%临床效果
微創方法%前列腺增生癥併膀胱結石%臨床效果
미창방법%전렬선증생증병방광결석%림상효과
Minimally invasive method%Benign prostatic hyperplasia and bladder stones%Clinical effect
目的：研究微创方法同期治疗前列腺增生症并膀胱结石的疗效。方法整群选取该院2012年3月-2013年12月收治的68前列腺增生症并膀胱结石的患者,采取数字分组法将研究对象分为研究A组与研究B组,分别给予TURP联合电切镜下钬激光碎石疗法及TURP联合气压弹道、钬激光碎石,对照分析两组患者取石成功率、手术时间、术后并发症及住院时间等指标的统计学差异性。结果两组患者手术均取得一次性成功,其中研究A组清石率为94.12%,而研究B组清石率为100%；在取石时间、术中出血量、导尿管留置时间等观察指标方面研究B组明显优于研究A组,组间比较差异有统计学意义(P<0.05)。结论在前列腺增生症并膀胱结石的临床治疗上,TURP联合气压弹道、钬激光碎石的方法具有手术损伤小、时间短、安全性高等优点,并且有助于预防并发症的发生,应当在临床上推广应用。
目的：研究微創方法同期治療前列腺增生癥併膀胱結石的療效。方法整群選取該院2012年3月-2013年12月收治的68前列腺增生癥併膀胱結石的患者,採取數字分組法將研究對象分為研究A組與研究B組,分彆給予TURP聯閤電切鏡下鈥激光碎石療法及TURP聯閤氣壓彈道、鈥激光碎石,對照分析兩組患者取石成功率、手術時間、術後併髮癥及住院時間等指標的統計學差異性。結果兩組患者手術均取得一次性成功,其中研究A組清石率為94.12%,而研究B組清石率為100%；在取石時間、術中齣血量、導尿管留置時間等觀察指標方麵研究B組明顯優于研究A組,組間比較差異有統計學意義(P<0.05)。結論在前列腺增生癥併膀胱結石的臨床治療上,TURP聯閤氣壓彈道、鈥激光碎石的方法具有手術損傷小、時間短、安全性高等優點,併且有助于預防併髮癥的髮生,應噹在臨床上推廣應用。
목적：연구미창방법동기치료전렬선증생증병방광결석적료효。방법정군선취해원2012년3월-2013년12월수치적68전렬선증생증병방광결석적환자,채취수자분조법장연구대상분위연구A조여연구B조,분별급여TURP연합전절경하화격광쇄석요법급TURP연합기압탄도、화격광쇄석,대조분석량조환자취석성공솔、수술시간、술후병발증급주원시간등지표적통계학차이성。결과량조환자수술균취득일차성성공,기중연구A조청석솔위94.12%,이연구B조청석솔위100%；재취석시간、술중출혈량、도뇨관류치시간등관찰지표방면연구B조명현우우연구A조,조간비교차이유통계학의의(P<0.05)。결론재전렬선증생증병방광결석적림상치료상,TURP연합기압탄도、화격광쇄석적방법구유수술손상소、시간단、안전성고등우점,병차유조우예방병발증적발생,응당재림상상추엄응용。
Objective To study the effect of minimally invasive methods for the concurrent treatment of benign prostatic hyperpla-sia and bladder stones. Methods 28 patients with benign prostatic hyperplasia and bladder stones admitted to our hospital from March 2012 to December 2013 were selected and randomly divided into study Group A and study Group B. Patients in the Group A were given transurethral resection of the prostate (TURP) combined with holmium laser lithotripsy, while those in the Group B underwent transurethral resection of the prostate (TURP) combined with pneumatic lithotripsy and holmium laser lithotripsy. A control analysis of successful rate, operative time, postoperative complications and length of hospital stay, etc. of the two groups were undertaken. Results One-time success was made in the operation on the patients of both two groups, in which the stone clearance rate of the study A group was 94.12% and that of the group was 100%; in terms of indicators, such as stone extraction time, intraoperative blood loss, catheterization time, the study Group B was significantly better than the study Group A and the difference was statistically significant. Conclusion In the clinical treatment of benign prostate hyperplasia and bladder stones, TURP combined with pneumatic lithotripsy and holmium laser lithotripsy should be applied because it has advantages of little in-jury, less operation time and high safety, and can contribute to the prevention of complications.
