摘要
目的 分析经尿道前列腺等离子电切术（PKRP）联合气压弹道碎石术（TULT）治疗前列腺增生（BPH）合并膀胱结石的临床疗效及安全性.方法 选择BPH并膀胱结石患者60例为研究对象,采用随机数字表法将其分为两组,每组30例.两组均采取PKRP治疗,另外,对照组联合耻骨小切口切开取石术,观察组联合TULT,分析两组临床治疗效果及并发症情况.结果 观察组碎石时间[（28.56±4.73）min]与对照组比较明显缩短,术中出血量[（103.47±10.58）mL]与对照组比较明显减少,差异均有统计学意义（t=6.44、6.85,均P〈0.05）.两组手术时间差异无统计学意义（t=1.44,P〉0.05）.观察组术后残余尿量[（36.19±17.22）mL]、国际前列腺症状评分（IPSS）[（10.26±1.58）分]及生活质量评分（QOL）[（2.11±0.84）分]与术前比较明显减少,而最大尿流量[（13.98±2.46）mL/s]与术前比较明显增加,差异均有统计学意义（t=8.97、7.80、7.62、7.54,均P〈0.05）.观察组各项指标与对照组比较差异均无统计学意义（t=1.44、2.06、1.86、2.30,均P〉0.05）.观察组术后置管时间为（5.26±1.38）d、膀胱冲洗时间为（1.27±0.84）d以及患者住院时间为（6.34±1.25）d,与对照组比较明显缩短,差异均有统计学意义（t=7.84、7.16、8.01,均P〈0.05）.观察组并发症发生率2.56％与对照组5.13％比较差异无统计学意义（χ2=2.36,P〉0.05）.结论 PKRP联合TULT治疗BPH合并膀胱结石效果显著,具有操作简单、创伤小、恢复快及并发症少等优点,可作为首选治疗方法.
Objective To analyse the clinical efficacy and adverse reactions of transurethral plasmakinetic resection of prostate （ PKRP ） combined with pneumatic lithotripsy （ TULT ） in the treatment of benign prostatic hyperplasia（BPH） and bladder stones.Methods 78 cases with BPH and bladder stones were selected as the study subjects ,and they were randomly divided into two groups ,39 cases in each group .They were all treated with transure-thral PKRP,on this basis,patients in the control group were treated with small incision incision ,patients in the obser-vation group were treated with TULT .The clinical effect and complications were analyzed .Results The gravel time of the observation group was （28.56 ±4.73） min,which was significantly shorter than that of the control group .The intraoperative blood loss in the observation group was （103.47 ±10.58）mL,which was significantly less than that of the control group,there were statistically significant differences between the two groups （t =6.44,6.85,all P 〈0.05）.There was no statistically significant difference in the operation time between the two groups （t=1.44,P〉0.05 ） .The postoperative catheterization time ,bladder irrigation time and hospitalization time in the observation group were （5.26 ±1.38）d,（1.27 ±0.84）d and （6.34 ±1.25）d,respectively,which were significantly shorter than those in the control group,the differences were statistically significant （t=7.84,7.16,8.01,all P〈0.05）.The postopera-tive residual urine volume,IPSS score and QOL score in the observation group were （36.19 ±17.22）mL,（10.26 ± 1.58）points and （2.11 ±0.84）points,respectively,which were significantly lower than preoperation ,the Qmax was （13.98 ±2.46）mL/s,which was significantly higher than preoperation ,there were statistically significant differences （t=8.97,7.80,7.62,7.54,all P〈0.05）.There were no statistically significant differences between the observation group and the control group （t=1.44,2.06,1.86,2.3
出处
《中国基层医药》
CAS
2018年第2期212-216,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
前列腺增生
膀胱结石
经尿道前列腺切除术
碎石术
Prostatic hyperplasia
Transurethral resection of prostate
Lithotripsy
Urinary bladdercalculi
