摘要
Abstract
Objective To investigate the effectiveness and safety of percutaneous cystostomy and ureteroscopic holmium laser lithotripsy combined with transurethral resection of the prostate （TURP) in the treatment of benign prostatic hyperplasia (BPH) with bladder stones. Methods A retrospective analysis of the clinical data of 80 patients with BPH and bladder stones admitted to the Department of Urology, Three Gorges Hospital of Chongqing University from August 2016 to August 2018, was divided into 42 cases in the contra group and 38 cases in the observation group according to different surgical methods. The control group underwent transurethral ureteroscopic holmium laser lithotripsy combined with TURP, and the observation group underwent percutaneous cystostomy and ureteroscopy holmium laser lithotripsy combined with TURP. The two groups were compared with one stone removal rate, lithotripsy time, operation time, and intraoperative blood loss complications, International Prostate Symptom Score (IPSS), Maximum Urine Flow Rate (Qmax) and Residual Urine Volume (PVR) 3 months after operation. Results The rate of one-time stone removal in the observation group was 100.00%，which was higher than 85.71% in the control group, the difference was statistically significant (P<0.05). The lithotripsy time, operation time, and intraoperative blood loss in the observation group were (35.91±4.80) min, (134.03±13.46) min, and (95.84±14.56) ml, respectively, which were less than those in the contra group (48.64±8.52) min and(155.46±17.33) min, (106.52±18.90) ml, the difference was statistically significant (P<0.05).The complication rate in the observation group was 10.53%, which was not statistically significant compared with 16.67% in the control group (P>0.05). Three months after surgery, the IPSS score, Qmax and PVR of the observation group were (4.57±0.75) points, (18.47±4.62) ml/s, (32.56±20.25) ml, respectively, compared with those of the contra goup (4.74±0.83) points, (17.96±5.41) ml/s and (30.24±18.78) ml, the difference was not statistically significant (P>0.05).Conclusion Percutaneous cystostomy and ureteroscopic holmium laser lithotripsy combined with TURP have the advantages of high stone removal rate, short lithotripsy time and operation time, and less blood loss during the operation. It is a safe and effective operation method.关键词
经皮膀胱造瘘输尿管镜钬激光碎石术/经尿道前列腺等离子电切术/良性前列腺增生/膀胱结石Key words
Percutaneous cystostomy and ureteroscopic holmium laser Iithotripsy/Transurethral plasma resection of the prostate/Benign prostatic hyperplasia/Bladder stones分类
医药卫生
