[1]何 靖,王海洋,肖嘉伍,等.经皮膀胱造瘘输尿管镜钬激光碎石联合TURP在BPH合并膀胱结石中的应用[J].医学信息,2020,33(16):112-114,117.[doi:10.3969/j.issn.1006-1959.2020.16.034]
　HE Jing,WANG Hai-yang,XIAO Jia-wu,et al.Application of Percutaneous Cystostomy and Ureteroscope Holmium Laser Lithotripsy Combined with TURP in the Treatment of BPH Complicated with Bladder Stones[J].Medical Information,2020,33(16):112-114,117.[doi:10.3969/j.issn.1006-1959.2020.16.034]
点击复制

经皮膀胱造瘘输尿管镜钬激光碎石联合TURP在BPH合并膀胱结石中的应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年16期
页码:
112-114,117
栏目:
临床研究
出版日期:
2020-08-15

文章信息/Info

Title:
Application of Percutaneous Cystostomy and Ureteroscope Holmium Laser Lithotripsy Combined with TURP in the Treatment of BPH Complicated with Bladder Stones
文章编号:
1006-1959（2020）16-0112-04
作者:
何 靖; 王海洋; 肖嘉伍; 等
（1.川北医学院临床医学系，四川 南充 637000；2.重庆大学附属三峡医院泌尿外科，重庆 404000）
Author(s):
HE Jing; WANG Hai-yang; XIAO Jia-wu1; et al
(1.Department of Clinical Medicine,North Sichuan Medical College,Nanchong 637000,Sichuan,China;2.Department of Urology,Three Gorges Hospital,Chongqing University,Chongqing 404000,Sichuan,China)
关键词:
经皮膀胱造瘘输尿管镜钬激光碎石术; 经尿道前列腺等离子电切术; 良性前列腺增生; 膀胱结石
Keywords:
Percutaneous cystostomy and ureteroscopic holmium laser lithotripsy; Transurethral plasma resection of the prostate; Benign prostatic hyperplasia; Bladder stones
分类号:
R699
DOI:
10.3969/j.issn.1006-1959.2020.16.034
文献标志码:
A
摘要:
目的 探讨经皮膀胱造瘘输尿管镜钬激光碎石术联合经尿道前列腺电切术（TURP）治疗前列腺增生（BPH）合并膀胱结石的有效性及安全性。方法 回顾性分析2016年8月~2018年8月重庆大学附属三峡医院泌尿外科收治的80例BPH合并膀胱结石患者的临床资料，依据手术方式不同分为对照组42例和观察组38例。对照组行经尿道输尿管镜钬激光碎石术联合TURP，观察组行经皮膀胱造瘘输尿管镜钬激光碎石术联合TURP，比较两组一次清石率、碎石时间、手术时间、术中失血量、并发症、术后3个月国际前列腺症状评分（IPSS）、最大尿流率（Qmax）及残余尿量（PVR）。结果 观察组一次清石率为100.00%，高于对照组的85.71%，差异有统计学意义（P＜0.05）。观察组碎石时间、手术时间、术中失血量分别为（35.91±4.80）min、（134.03±13.46）min、（95.84±14.56）ml，均少于对照组的（48.64±8.52）min、（155.46±17.33）min、（106.52±18.90）ml，差异有统计学意义（P＜0.05）。观察组并发症发生率为10.53%，与对照组的16.67%比较，差异无统计学意义（P＞0.05）。术后3个月，观察组IPSS评分、Qmax及PVR分别为（4.57±0.75）分、（18.47±4.62）ml/s、（32.56±20.25）ml，与对照组的（4.74±0.83）分、（17.96±5.41）ml/s、（30.24±18.78）ml比较，差异无统计学意义（P＞0.05）。结论 经皮膀胱穿刺造瘘输尿管镜钬激光碎石术联合TURP具有清石率高、碎石时间及手术时间短、术中失血量少等优点，是一种安全有效的手术方式。
Abstract:
Objective To investigate the effectiveness and safety of percutaneous cystostomy and ureteroscopic holmium laser lithotripsy combined with transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH) with bladder stones.Methods A retrospective analysis of the clinical data of 80 patients with BPH and bladder stones admitted to the Department of Urology,Three Gorges Hospital of Chongqing University from August 2016 to August 2018, was divided into 42 cases in the control group and 38 cases in the observation group according to different surgical methods. The control group underwent transurethral ureteroscopic holmium laser lithotripsy combined with TURP, and the observation group underwent percutaneous cystostomy and ureteroscopy holmium laser lithotripsy combined with TURP. The two groups were compared with one stone removal rate, lithotripsy time, operation time, and intraoperative blood loss complications, International Prostate Symptom Score (IPSS), Maximum Urine Flow Rate (Qmax) and Residual Urine Volume (PVR) 3 months after operation.Results The rate of one-time stone removal in the observation group was 100.00%, which was higher than 85.71% in the control group,the difference was statistically significant (P<0.05). The lithotripsy time, operation time, and intraoperative blood loss in the observation group were (35.91±4.80) min, (134.03±13.46) min, and (95.84±14.56) ml, respectively, which were less than those in the control group (48.64±8.52) min and ( 155.46±17.33) min, (106.52±18.90) ml, the difference was statistically significant (P<0.05). The complication rate in the observation group was 10.53%, which was not statistically significant compared with 16.67% in the control group (P>0.05). Three months after surgery, the IPSS score, Qmax and PVR of the observation group were (4.57±0.75) points, (18.47±4.62) ml/s, (32.56±20.25) ml, respectively, compared with those of the control group (4.74±0.83) points, (17.96±5.41) ml/s and (30.24±18.78) ml, the difference was not statistically significant (P>0.05).Conclusion Percutaneous cystostomy and ureteroscopic holmium laser lithotripsy combined with TURP have the advantages of high stone removal rate, short lithotripsy time and operation time, and less blood loss during the operation. It is a safe and effective operation method.

参考文献/References:

[1]Yoshida T,Kinoshita H,Nakamoto T,et al.Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones[J].Urology,2015,86(3):450-453.[2]宋剑楠,张翔翔,张世革.金属支架在前列腺增生支架植入术中的临床应用现状[J].实用老年医学,2020,34(3):301-303. [3]何利.TURP联合经尿道气压弹道碎石术治疗良性前列腺增生合并膀胱结石效果探讨[J].当代医学,2020,26(1):94-96.[4]吴俊雁,潘杰,肖玉玲,等.经尿道前列腺等离子电切术治疗前列腺增生症的疗效及其对患者生活质量的影响[J].海南医学,2019,30(1):57-59.[5]李国成.前列腺增生电切术配合同期不同碎石术治疗前列腺增生合并膀胱结石的疗效及对其症状积分、生活质量的影响[J].国际泌尿系统杂志,2019,39(5):779-782. [6]Eyraud R,Laydner H,Autorino R,et al.Robot-assisted laparoscopic bladder diverticulectomy[J].Curr Urol Rep,2013,14(1):46-51.[7]柴克强,刘伟,谢永强,等.等离子电切镜联合输尿管镜下钬激光碎石术与前列腺等离子切除术治疗前列腺增生合并膀胱结石33例[J].中国微创外科杂志,2012,12(11):1026-1027.[8]王君勇,黄多斌,冼杰.经皮肾镜气压弹道碎石结合前列腺电切术治疗良性前列腺增生合并膀胱结石的临床效果[J].中国医学创新,2019,16(18):58-61. [9]李建友,陈鑫,王胜,等.经尿道前列腺电气化术联合钬激光碎石术治疗前列腺增生合并膀胱结石临床研究[J].中国性科学,2017,26(5):27-29.[10]Bansal A,Kumar M,Sankhwar S,et al.Prospective randomized comparison of three endoscopic modalities used in treatment of bladder stones[J].Urologia,2016,83(2):87-92.[11]张群会.经尿道前列腺切除术中预先干预防治前列腺电切综合征的效果探讨[J].中国实用医药,2016,11(1):155-156.[12]陶家俊.经皮膀胱微造瘘低压灌注对经尿道前列腺电切术的手术疗效影响分析[J].浙江创伤外科,2017,22(5):872-874.

相似文献/References:

[1]吴 洋.不同手术方式治疗良性前列腺增生的效果[J].医学信息,2022,35(03):109.[doi:10.3969/j.issn.1006-1959.2022.03.026]
　WU Yang.Effect of Different Surgical Methods in the Treatment of Benign Prostatic Hyperplasia[J].Medical Information,2022,35(16):109.[doi:10.3969/j.issn.1006-1959.2022.03.026]

更新日期/Last Update: 1900-01-01