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目的探讨分析了经尿道同期治疗前列腺增生并发膀胱结石的疗效以及并发症。方法我院于2009年到2011年共收治前列腺增生并发膀胱结石的患者15例,均采用经尿道等离子双极电切与肾镜联合下的气压弹道及超声碎石清石手术进行了治疗,分别对患者的手术情况、治疗效果以及并发症发生率进行分析。结果所有患者手术均获得成功,手术过程中无输血病例,2例患者出现了尿道外口狭窄,其余患者均没有并发症发生。手术后患者国际前列腺症状评分和生活质量评分显著提高。结论经尿道等离子双极电切与肾镜联合下的气压弹道及超声碎石清石手术治疗前列腺增生并发膀胱结石疗效显著,值得临床推广使用。
Objective To investigate the efficacy and complications of simultaneous transurethral treatment of benign prostatic hyperplasia complicated by bladder stones. Methods A total of 15 patients with benign prostatic hyperplasia complicated with bladder stones in our hospital from 2009 to 2011 were treated with pneumatic lithotripsy and ultrasound lithotripsy under the combination of transurethral plasma bipolar grafting and nephrolithiasis. The patient’s surgery, the treatment effect and the incidence of complications were analyzed. Results All the patients were operated successfully. There were no cases of transfusion during operation. Two cases had urethral stenosis and the rest had no complications. Postoperative patients with international prostate symptom scores and quality of life scores were significantly improved. Conclusions The transurethral plasma bipolar resection combined with pneumatic lithotripsy and ultrasound lithotripsy under nephrolithotomy for the treatment of benign prostatic hyperplasia complicated by bladder stones has a significant effect and is worthy of clinical application.