前列腺增生合并膀胱结石同期手术治疗方式及疗效研究
【摘要】 目的：研究与分析前列腺增生合并膀胱结石同期手术治疗方式及疗效。方法：回顾性分析2016年1月-2017年9月本院收治的54例前列腺增生合并膀胱结石患者的临床资料，根据患者结石情况采取不同方式膀胱碎石（或取石）合并前列腺等离子电切术治疗。观察对比患者治疗前及术后3个月IPSS评分、QOL评分、Qmax以及效果。结果：54例患者均一次性成功完成手术，术中平均出血量（85.8±59.1）mL、平均住院时间（13.5±3.5）d，未发生大出血及膀胱损伤。术后随访3个月，未发现真性尿失禁，无严重血尿，但出现2例感染，1例狭窄。患者术后3个月的IPSS评分、QOL评分、平均Qmax较术前均明显改善，差异均有统计学意义（t=17.3、30.1、28.4，P=0.00、0.00、0.00）。结论：前列腺合并膀胱结石同期手术治疗的效果非常显著，具有安全性高、并发症少等优势，且患者治疗后远期效果良好，值得临床应用推广。
【关键词】 前列腺增生； 膀胱结石； 同期手术
Study on the Effect of Homochronous Operation Treatment of Hyperplasia of Prostate and Vesical Calculus/ZHANG Heyuan，HUANG Yuqing，HUANG Minzhi，et al.//Medical Innovation of China，2018，15（07）：127-129
【Abstract】 Objective：To study and analyze the homochronous operation treatment of hyperplasia of prostate and vesical calculus.Method：The clinical data of 54 patients with homochronous operation treatment of hyperplasia of prostate and vesical calculus in our hospital from January 2016 to September 2017 were retrospectively analyzed，the patients were treated by percutaneous pneumatic lithotripsy（or prcutaneous nephrolithotomy）and TUPKRP according to the patients’ stone.The IPSS score，QOL score，Qmax and effect were compared before treatment and after treatment 3 months.Result：54 patients were successfully treated by a one-time operation.The average blood loss was（85.8±59.1）mL and the average hospital stays were（13.5±3.5）d.
The patients were not occurred hemorrhoea and damage to the bladder in operation.After 3 months of follow-up，no real urinary incontinence was found，no severe hematuria was found，but there were 2 cases of infection and 1 case of stenosis.IPSS score，QOL score and mean Qmax of patients at 3 months after operation were significantly improved than those before operation，the differences were statistically significant（t=17.3，30.1，28.4；P=0.00，0.00，0.00）.Conclusion：The effect of the homochronous operation treatment of hyperplasia of prostate and vesical calculus is significant，it has high safety and less complications，and the long-term effect after treatment is good，it is worth popularizing in clinical application.
【Key words】 Hyperplasia of prostate； Vesical calculus； Homochronous operation treatment
First-author’s address：Meizhou People’s Hospital，Meizhou 514031，China
doi：10.3969/j.issn.1674-4985.2018.07.036
在臨床上，前列腺增生是一种常见病、多发病，且其对老年男性的生活质量存在严重影响。而在前列腺增生疾病中，膀胱结石是一种常见并发症，已有调查数据显示，该病症的发病率约为10%以上[1-3]。由于大多数前列腺增生患者均为老年人，其机体免疫功能减退，身体状况相对较差，因而承受手术创伤的能力较小，所以选择何种有效治疗方法对其加以治疗，则成为临床关注的重点问题[4-5]。回顾性分析本院2016年1月-2017年9月收治的54例前列腺增生合并膀胱结石患者的临床资料，进行了研究与分析，现报道如下。