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目的探讨同期治疗BPH并发膀胱结石安全、高效的方法。方法利用电切镜外鞘置入输尿管镜行气压弹道碎石(URSL)及行等离子前列腺电切(PKRP)治疗BPH并膀胱结石患者65例,并分析其疗效。结果全部病人均同期经尿道完成URSL和PKRP,术中术后无需要输血者,无电切综合症发生,未出现膀胱或直肠损伤。一例术后出血,二次入手术室行电灼止血。3例拔管后不同程度尿失禁,经膀胱功能锻炼后好转。术后6个月随访,IPSS评分平均9分。结论PKRP联合URSL同期治疗BPH合并膀胱结石是一种安全有效的方法。
Objective To investigate the safe and effective treatment of BPH complicated with bladder stones in the same period. Methods 65 cases of BPH complicated with bladder stones were treated with ureteroscopic pneumatic lithotripsy (URSL) and plasma prostate resection (PKRP) with resectoscope. The curative effect was analyzed. Results All patients underwent transurethral URSL and PKRP during the same period. No postoperative blood transfusions were required, and no cut off syndrome occurred. No bladder or rectal injury occurred. One case of postoperative bleeding, the second into the operating room electrocautery to stop bleeding. 3 cases of urinary incontinence after extubation to varying degrees, improved after bladder function training. After 6 months of follow-up, the IPSS score averaged 9 points. Conclusions PKRP combined with URSL in the treatment of BPH complicated with bladder stones is a safe and effective method.