摘要
Abstract
Objective:To observe the clinical effect of transurethral bipolar plasma enucleation(PKEP)combined with holmium laser lithotripsy in the treatment of prostatic hyperplasia with bladder stones.Method:The clinical data of 62 patients with prostatic hyperplasia and bladder stones admitted to the People's Hospital of Massachusetts City from March 2019 to March 2024 were collected for retrospective study,and they were categorized into electrocutaneous group(n=32)and gouging group(n=30)according to the surgical methods.The electrolysis group was treated with transurethral resection of the prostate(TURP)combined with holmium laser lithotripsy,and the enucleation group was treated with PKEP combined with holmium laser lithotripsy.Perioperative indicators,visual analog score(VAS),International Prostate Symptom Scale(IPSS),urodynamic parameters[mean urinary flow rate(Qave),maximal urinary flow rate(Qmax),residual urine volume(PRV)],inflammatory indicators[procalcitoninogen(PCT),white blood cell count(WBC),C-reactive protein(CRP)],and the occurrence of complications were compared between the two groups.Result:The perioperative indexes of the enucleation group were all better than those of the electrodesiccation group,and the difference was statistically significant(P<0.05).The VAS scores of the enucleation group were lower than those of the electrodesiccation group at 6 h,12 h and 24 h after surgery,and the difference was statistically significant(P<0.05).At 3 months postoperatively,the IPSS score of the enucleation group was lower than that of the electrodesiccation group,and the difference was statistically significant(P<0.05).Qave and Qmax of the enucleation group were higher than those of the electrodesiccation group,and PRV was lower than those of the electrodesiccation group,and the difference was statistically significant(P<0.05).At 1 d after surgery,PCT,WBC and CRP of the enucleation group were lower than those of the electrodesiccation group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of complication rates between the two groups(P>0.05).Conclusion:Compared with TURP,PKEP combined with holmium laser lithotripsy for the treatment of prostatic hyperplasia with bladder stones has better perioperative indexes,effectively reduces patients'postoperative pain,improves lower urinary tract symptoms and urodynamic parameters,and reduces postoperative inflammatory reactions,and has a better safety profile.关键词
经尿道双极等离子剜除术/钬激光碎石术/前列腺增生/膀胱结石Key words
Transurethral bipolar plasma enucleation/Holmium laser lithotripsy/Benign prostatic hyperplasia/Bladder stone
