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良性前列腺增生合并膀胱结石的腔内治疗(附19例报告) 被引量:1

Endourological treatment of patients with benign prostatic hyperplasia and bladder calculi(report of 19 cases)
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摘要 目的探讨良性前列腺增生(BPH)合并膀胱结石治疗方法。方法采用经尿道钬激光碎石术联合前列腺电切术(TURP)治疗BPH并发膀胱结石19例。结果19例均一次手术成功,钬激光碎石时间14—50min,平均35min。手术总时间45-130min,平均97min;术后住院7-9d。无膀胱穿孔、电切综合征及严重感染等并发症发生。术后随访3个月,膀胱内未见结石残留复发,无排尿困难、尿失禁等。结论钬激光碎石术联合TURP是治疗BPH并发膀胱结石的一种有效、安全、微创的治疗方法。 Objective To study the effective treatment for patients with benign prostatic hyperplasia (BPH)complicated with bladder calculi. Methods A total of 19 patients with both BPH and bladder calculi were treated with holmium laser lithotripsy followed by transurethral resection of the prostate (TURP). Results All the operations were successfully completed. The mean operation duration of cys- tolithotripsy was 35 (14-50) min,The mean operative duration was 97 min (45-130) min. The duration of postoperative hospitalization was 7- 9d. No vesieal perforation, TURP syndrome and severe infection occurred.All the cases were followed up for 3 months, All postoperative patients were stone-free. None of the patients had urinary incontinence or dysuria. Conclusion TURP with holmium laser lithotripsy is an effective, safe and mini-invasive approach for the treatment of patients with both BPH and bladder calculi.
出处 《安徽医学》 2012年第6期695-697,共3页 Anhui Medical Journal
关键词 良性前列腺增生 膀胱结石 经尿道前列腺电切术 钬激光碎石术 Benign prostatic hyperplasia Bladder calculi Transurethral resection of prostate Holmium laser lithotripsy
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