经尿道前列腺等离子剜除术联合小切口治疗高龄高危良性前列腺增生合并膀胱结石的研究

发布时间：2019-01-21 18:01

【摘要】：目的探讨经尿道前列腺等离子剜除术联合耻骨上小切口治疗高龄高危良性前列腺增生(BPH)合并膀胱结石的安全性及疗效。方法采用经尿道前列腺等离子剜除术联合耻骨上小切口治疗42例高龄高危BPH合并膀胱结石患者,比较术前及术后临床资料。结果该组患者均顺利完成,无死亡病例,手术时间(63.90±16.60)min,术中出血量(73.90±21.10)ml,无需要输血的病例,无1例发生前列腺电切综合征,术后未发现结石残留。手术前与手术后即刻生命特征及血K+、血清脑钠肽(BNP)等内环境指标比较差异无统计学意义,术中术后均无严重内科并发症发生。术后随访3个月,最大尿流率(Qmax)、残余尿(PVR)、国际前列腺症状评分(IPSS)和生活质量评分(QOL)与术前比较,差异均有统计学意义(P0.05)。结论经尿道前列腺剜除术联合小切口切开取石并取出剜除腺瘤的手术方式治疗高龄高危BPH患者伴膀胱结石,安全性好,疗效确切,特别适用于高龄高危的患者。
[Abstract]:Objective to evaluate the safety and efficacy of transurethral plasma enucleation of the prostate (TURP) combined with suprapubic small incision in the treatment of high risk benign prostatic hyperplasia (BPH) with bladder calculi. Methods Transurethral plasma enucleation of the prostate combined with suprapubic small incision was used to treat 42 elderly patients with high risk BPH complicated with bladder calculi. The clinical data before and after operation were compared. Results all the patients were successfully completed, there were no cases of death, the operative time was (63.90 卤16.60) min, and the amount of blood loss was (73.90 卤21.10) ml,. No residual stones were found after operation. There was no significant difference in life characteristics, blood K, serum brain natriuretic peptide (BNP) and so on before and immediately after operation, and no serious complications occurred during and after operation. Following up for 3 months, there were significant differences in maximum urinary flow rate (Qmax),) residual urine (PVR), international prostatic symptom score (IPSS) and quality of life score (QOL) compared with pre-operation (P0.05). Conclusion transurethral enucleation of prostate combined with small incision lithotomy and removal of adenoma is a safe and effective method for the treatment of high risk BPH patients with bladder calculi.
【作者单位】：江汉大学附属医院泌尿外科;
【分类号】：R699

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