当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
25期
4-5,6
,共3页
前列腺增生%膀胱结石%PKRP
前列腺增生%膀胱結石%PKRP
전렬선증생%방광결석%PKRP
Benign prostate hyperplasia%Bladder calculi%PKRP
目的：探讨气压弹道超声系统联合经尿道前列腺等离子电切术同期治疗前列腺增生（BPH）合并膀胱结石的疗效。方法选择41例BPH合并膀胱结石患者，术前根据尿流动力学测定将其分为轻、中、重度梗阻组，分别为11、23、7例，采用气压弹道超声系统联合经尿道前列腺等离子电切术，比较3组患者术前术后的前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿以及逼尿肌不稳定(DI)、逼尿肌低顺应性、逼尿肌活动低下(DUA)、逼尿肌一括约肌协同失调(DSD)的发生率。结果41例患者手术均成功，无并发症，术后3个月3组患者的IPSS、QOL、Qmax、残余尿均较术前显著改善，术后DI、DUA、DSD及低顺应性发生率均较术前显著降低，差异均有统计学意义（P＜0.01）。结论同期经尿道膀胱结石碎石术和PKRP 联合治疗BPH伴膀胱结石是安全高效且微创的手术方法，可明显改善患者的梗阻症状，有效清除结石，提高生活质量。
目的：探討氣壓彈道超聲繫統聯閤經尿道前列腺等離子電切術同期治療前列腺增生（BPH）閤併膀胱結石的療效。方法選擇41例BPH閤併膀胱結石患者，術前根據尿流動力學測定將其分為輕、中、重度梗阻組，分彆為11、23、7例，採用氣壓彈道超聲繫統聯閤經尿道前列腺等離子電切術，比較3組患者術前術後的前列腺癥狀評分(IPSS)、生活質量評分(QOL)、最大尿流率(Qmax)、殘餘尿以及逼尿肌不穩定(DI)、逼尿肌低順應性、逼尿肌活動低下(DUA)、逼尿肌一括約肌協同失調(DSD)的髮生率。結果41例患者手術均成功，無併髮癥，術後3箇月3組患者的IPSS、QOL、Qmax、殘餘尿均較術前顯著改善，術後DI、DUA、DSD及低順應性髮生率均較術前顯著降低，差異均有統計學意義（P＜0.01）。結論同期經尿道膀胱結石碎石術和PKRP 聯閤治療BPH伴膀胱結石是安全高效且微創的手術方法，可明顯改善患者的梗阻癥狀，有效清除結石，提高生活質量。
목적：탐토기압탄도초성계통연합경뇨도전렬선등리자전절술동기치료전렬선증생（BPH）합병방광결석적료효。방법선택41례BPH합병방광결석환자，술전근거뇨류동역학측정장기분위경、중、중도경조조，분별위11、23、7례，채용기압탄도초성계통연합경뇨도전렬선등리자전절술，비교3조환자술전술후적전렬선증상평분(IPSS)、생활질량평분(QOL)、최대뇨류솔(Qmax)、잔여뇨이급핍뇨기불은정(DI)、핍뇨기저순응성、핍뇨기활동저하(DUA)、핍뇨기일괄약기협동실조(DSD)적발생솔。결과41례환자수술균성공，무병발증，술후3개월3조환자적IPSS、QOL、Qmax、잔여뇨균교술전현저개선，술후DI、DUA、DSD급저순응성발생솔균교술전현저강저，차이균유통계학의의（P＜0.01）。결론동기경뇨도방광결석쇄석술화PKRP 연합치료BPH반방광결석시안전고효차미창적수술방법，가명현개선환자적경조증상，유효청제결석，제고생활질량。
Objective To probe the effective treatment for patients with Begin Prostate Hyperplasia (BPH) along with Cystolith with Plasmakinetic Resection of Prostate Combining with Transurethral Cystolithotripsy by Pneumatic and Ultrasound Lithotripsy.Methods 41 cases of patients of BPH combined with Cystolith were chosen. Before operation, chosen patients were divided into three groups which were light obstruction, medium obstruction and sever one, based on the urodynamics,with eleven, twenty three and seven cases respectively. Plasmakinetic Resection of Prostate Combining with Transurethral Cystolithotripsy by Pneumatic and Ultrasound Lithotripsy was used to compare the prostate symptom score (IPSS), quality of life score (QOL), maximal urinaryflow rate (Qmax), residual urine and detrusor instability (DI), detrusor low compliance, detrusor underactivity (DUA) and the incidence of detrusor sphincter dyssynergia (DSD) in those three groups of patients before and after operations.Results All operations in 41 cases were successful, without any complication. Three months after operations, IPSS, QQL, Qmax, and residual urine were significantly improved in three groups of patients. DI, DUA, DSD and low compliance rate of occurrence decreased markedly. These differences contribute to the medical statistics.Conclusion Simultaneous transurethral bladder calculi lithotripsy combined with with PKRP is considered as the safe, effective and minimal invasive surgical method to cure BPH along with Cystolith, also obviously improving the symptoms of obstruction, effectively removing calculus and improving the quality of life.
