摘要
目的探讨巨大前列腺并膀胱结石患者同时行耻骨上经膀胱气压弹道碎石和前列腺电切的效果。方法对21例同时行耻骨上膀胱气压弹道碎石术及经尿道前列腺电切术患者进行回顾总结。结果所有患者均一次性治疗成功,除碎石时膀胱粘膜有散在充血、水肿外,无膀胱穿孔发生,未见结石复发及尿失禁和尿道狭窄等并发症。结论同时进行耻骨上气压弹道碎石术和经尿道前列腺电切术是治疗巨大前列腺并膀胱结石的一种高效、安全的方法。
Objective To investigate the therapeutic effects of suprapubic ballistic vesicolithotrity followed by transurethral resection of the prostate（TURP） in patients with large prostate and bladder stone. Methods A total of 21 old patients with large prostate and bladder stone, aged 65 - 89 years （ average 72 years）, underwent ballistic lithotripsy followed by TURP. Results All bladder stone were fragmented with the ballistic Swiss Lithoclast, The intraoperative hemorrhage was 90-230 ml with an average of 140 ml. The operation time was 100- 160 min. One month later, the IPSS score was 14 and the maximum urine flow rate was 16.8 ml/s. Other than scattered engorge and edema in mucous membrane of bladder during lithotripsy, no vesical perforation, stone recurrence, incontinence and urethral stricture were found. Conclusion The combination of suprapubic ballistic vesicolithotrity and TURP is an effective, safe, and economical treatment for patients with bladder stone and large prostate.
出处
《局解手术学杂志》
2005年第5期310-311,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
巨大前列腺
膀胱结石
前列腺电切术
弹道碎石术
large prostate
bladder stone
transurethral resection of prostate
ballistic lithotripsy
