微创医学

目的探讨经皮膀胱造瘘通道和尿道碎石联合经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）合并膀胱结石的临床疗效。方法将80例BPH合并膀胱结石患者随机分为试验组和对照组各40例，试验组采用经皮膀胱造瘘通道和尿道碎石联合TURP治疗，对照组采取经尿道碎石联合TURP治疗，比较两组患者的临床疗效。结果试验组膀胱碎石时间、TURP手术时间、出血量均少于对照组，两组比较，差异均有统计学意义（P＜0.05）；试验组术后并发症2例（5.0%），对照组17例（42.5%），两组比较，差异有统计学意义（P＜0.05）；试验组术后IPSS评分及QOP评分均低于对照组，Qmax高于对照组，两组比较，差异有统计学意义（P＜0.05）。结论经皮膀胱造瘘通道和尿道碎石联合TURP手术治疗BPH并膀胱结石，安全性高，效果满意，值得在临床上推广。

ObjectiveTo explore the clinical effect of percutaneous urinary bladder fistula combined with transurethral lithotripsy and TURP on the treatment of patients with BPH and bladder calculi. MethodsEighty cases of patients with BPH and bladder calculi were randomly divided into experimental group and control group, 40 patients in each group. Patients of the experimental group were treated with percutaneous urinary bladder fistula combined with transurethral lithotripsy and TURP surgery;Patients of the control group were treated with transurethral lithotripsy combined with TURP surgery. The clinical efficacy of the two groups were compared. ResultsThe time of bladder lithotripsy and TURP operation, blood loss of experimental group were less than that of the control group, the difference was statistically significant (P＜0.05); The occurrence of complications of the experimental group was 5.0%(2 cases) and 42.5%(17 cases)of the control group, the difference was statistically significant (P＜0.05);After operation, the IPSS score and QOP score of the experimental group were higher than those of the control group, Qmax was higher than control group,the differences were statistically significant(P＜0.05). ConclusionIt′s worthy to apply percutaneous urinary bladder fistula combined with transurethral lithotripsy and TURP in the treatment of patients with BPH and bladder calculi,because of the high safety and satisfied effect.