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目的:通过临床实验探究微创手术对前列腺增生合并输尿管结石的临床效果。方法:选取2011年至2013年我院接收的72例前列腺增生合并输尿管结石的患者,使用钬激光碎石术和前列腺电气化术对其进行治疗,观察其临床治疗效果。结果:观察可得,72例患者均成功碎石,出血量为30~155ml,术后置尿管3~5天,术后患者的IPSS(前列腺症状评分)、RU(残余尿量),QOL(生活质量指数)均低于术前,而患者Qmax(最大尿流率)明显高于手术前。患者术后一月内结石全部排清并且无明显并发症发生。结论:微创手术对治疗前列腺增生合并输尿管感染有较好的疗效,对患者造成的伤害小,创伤面积小,对患者的早日康复有极大帮助,临床意义重大,值得推广应用。
Objective: To explore the clinical effect of minimally invasive surgery on benign prostatic hyperplasia with ureteral calculi through clinical trials. Methods: Seventy-two patients with benign prostatic hyperplasia and ureteral calculi received in our hospital from 2011 to 2013 were treated with holmium laser lithotripsy and electroporation of prostate, and their clinical effects were observed. Results: All the 72 patients were successfully grafted, the bleeding amount was 30 ~ 155ml and the postoperative urethral catheter was 3 ~ 5 days. The postoperative IPSS (Prostate Symptom Score), RU (residual urine volume), QOL (Quality of life index) were lower than preoperative, and patients Qmax (maximum flow rate) was significantly higher than before surgery. Patients within a month after the stones were completely cleared and no significant complications occurred. Conclusion: Minimally invasive surgery has a good effect on the treatment of benign prostatic hyperplasia with ureteral infection. It has less harm to the patient and less trauma area. It is of great help to the patients’ immediate recovery and has great clinical significance. It is worth popularizing and applying.