前列腺增生并膀胱结石者同期行前列腺剜除、膀胱切开取石治疗的疗效观察(1)
摘要：目的 分析大体积良性前列腺增生(BPH)并膀胱大结石者行同期经尿道等离子前列腺剜除术(TUPKEP)、膀胱切开取石术治疗的可行性。方法 选择2013年6月～2017年6月我院收治的80例BPH并膀胱大结石者为研究对象，所有患者经检查符合手术指征后，同期行TUPKEP、膀胱切开取石术，观察手术情况，记录患者住院时间、术中出血量、手术时间、取石成功率，观察患者IPSS评分、QMAX、RUV、复发率及术后并发症情况。结果 治疗后，患者IPSS评分、RUV低于治疗前，QOL、QMAX高于治疗前，差异有统计学意义(P<0.05);取石成功率100.00%，平均手术时间(90.35±8.41)min，术中出血量(148.65±34.71)ml，住院时间(9.75±0.63)d，并发症发生率1.25%，复发率1.25%。结论 对BPH、膀胱大结石者行同期TUPKEP、膀胱切开取石术治疗，取石成功率高，患者排尿情况得到改善，并发症少、复发率低。
关键词：膀胱切开取石术;前列腺增生;前列腺剜除术;膀胱大结石;并发症
, http://www.100md.com
中图分类号：R699 文献标识码：B DOI：10.3969/j.issn.1006-1959.2019.06.042
文章编号：1006-1959(2019)06-0133-02
Abstract：Objective To analyze the feasibility of concurrent urethral plasma prostatectomy (TUPKEP)and bladder incision and stone removal in patients with large benign prostatic hyperplasia and massive bladder stones.Methods From June 2013 to June 2017， 80 patients with BPH and bladder stones were enrolled in our hospital. All patients underwent TUPKEP and bladder incision and stone surgery to observe the operation. The patient's hospital stay， intraoperative blood loss， operation time， stone removal success rate， and IPSS score， QMAX， RUV， recurrence rate and postoperative complications were observed.Results After treatment， patients with IPSS score and RUV were lower than before treatment， QOL and QMAX were higher than before treatment， the difference was statistically significant (P<0.05).the Stone success rate was 100.00%， average operation time was(90.35±8.41)min，the amount of bleeding (148.65±34.71) ml， hospitalization time (9.75±0.63) d， complication rate was 1.25%， and the recurrence rate was 1.25%.Conclusion For patients with BPH and bladder stones， TUPKEP and bladder incision are used for the same period of time. The success rate of stone removal is high， the urination of patients is improved， the complications are few， and the recurrence rate is low.
, 百拇医药
Key words：Bladder incision and stone removal;Benign prostatic hyperplasia;Prostate removal; Bladder stones;Complications
前列腺增生(benign prostatic hyperplasia，BPH)是臨床常见的泌尿疾病，患者除了进行性排尿障碍，同时由于下尿路梗阻，导致尿液中微结石、晶体等留于膀胱，易引发膀胱结石，相关数据统计显示10%以上BPH者伴有膀胱结石[1]。还会临床认为两种疾病合并，不仅会加重尿路阻塞，还易继发感染，导致患者病情加重，给其生活质量、身心健康造成严重影响。现今有关BPH发病机制尚未完全明确，对于BPH合并膀胱结石者治疗主要以手术为主，早期主要行膀胱切开取石、前列腺摘除术，但此术式对人体损伤较大，不仅易造成组织功能受损，且术后恢复慢[2]。经尿道等离子前列腺剜除术(TUPKEP)是一种新型微创技术，可以保留前列腺完整腺体，对人体损伤小，但其与膀胱切开取石同期手术相关报道较少，本文通过观察2013年6月～2017年6月80例患者行TUPKEP、膀胱切开取石同期手术的效果，旨在为今后疾病治疗提供参考。, 百拇医药(陈东)
关键词：膀胱切开取石术;前列腺增生;前列腺剜除术;膀胱大结石;并发症
, http://www.100md.com
中图分类号：R699 文献标识码：B DOI：10.3969/j.issn.1006-1959.2019.06.042
文章编号：1006-1959(2019)06-0133-02
Abstract：Objective To analyze the feasibility of concurrent urethral plasma prostatectomy (TUPKEP)and bladder incision and stone removal in patients with large benign prostatic hyperplasia and massive bladder stones.Methods From June 2013 to June 2017， 80 patients with BPH and bladder stones were enrolled in our hospital. All patients underwent TUPKEP and bladder incision and stone surgery to observe the operation. The patient's hospital stay， intraoperative blood loss， operation time， stone removal success rate， and IPSS score， QMAX， RUV， recurrence rate and postoperative complications were observed.Results After treatment， patients with IPSS score and RUV were lower than before treatment， QOL and QMAX were higher than before treatment， the difference was statistically significant (P<0.05).the Stone success rate was 100.00%， average operation time was(90.35±8.41)min，the amount of bleeding (148.65±34.71) ml， hospitalization time (9.75±0.63) d， complication rate was 1.25%， and the recurrence rate was 1.25%.Conclusion For patients with BPH and bladder stones， TUPKEP and bladder incision are used for the same period of time. The success rate of stone removal is high， the urination of patients is improved， the complications are few， and the recurrence rate is low.
, 百拇医药
Key words：Bladder incision and stone removal;Benign prostatic hyperplasia;Prostate removal; Bladder stones;Complications
前列腺增生(benign prostatic hyperplasia，BPH)是臨床常见的泌尿疾病，患者除了进行性排尿障碍，同时由于下尿路梗阻，导致尿液中微结石、晶体等留于膀胱，易引发膀胱结石，相关数据统计显示10%以上BPH者伴有膀胱结石[1]。还会临床认为两种疾病合并，不仅会加重尿路阻塞，还易继发感染，导致患者病情加重，给其生活质量、身心健康造成严重影响。现今有关BPH发病机制尚未完全明确，对于BPH合并膀胱结石者治疗主要以手术为主，早期主要行膀胱切开取石、前列腺摘除术，但此术式对人体损伤较大，不仅易造成组织功能受损，且术后恢复慢[2]。经尿道等离子前列腺剜除术(TUPKEP)是一种新型微创技术，可以保留前列腺完整腺体，对人体损伤小，但其与膀胱切开取石同期手术相关报道较少，本文通过观察2013年6月～2017年6月80例患者行TUPKEP、膀胱切开取石同期手术的效果，旨在为今后疾病治疗提供参考。, 百拇医药(陈东)