气压碎石加等离子体切割治疗前列腺增生并膀胱结石

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1、维普资讯http://www.cqvip.com昆明医学院学报2006。(3)：57—59CN53一lO49，／RJournalofKunmingMedicalCollege0穗≯每气压碎石加等离子体切割治疗前列腺增生并膀胱结石陈剑珩，申吉泓，龙江，刘孝东(昆明医学院第一附属医院泌尿外科，昆明650032)[摘要]目的探讨良性前列腺增生症并膀胱结石有效治疗方法．方法采用经电切镜外鞘气压弹道碎石术加经尿道前列腺等离子体双极电切术(TUPKRP)治疗BPH合并膀胱结石21例．结果所有病例结石均一次取尽，平均切除前列腺组织30．2g，无输血病例．患者术后排尿均恢复通畅。无严重并发症发生．

2、IPSS评分由(27．9±4．5)分降至(5．7±2．6)分；Qma)【由(5．2±1．5)mL／8升至(16．5±3．5)mL／s．结论经电切镜外鞘气压弹道碎石术加经尿道等离子体切割术，是治疗前列腺增生并膀胱结石安全有效的微创手术方法．[关键词]前列腺增生；膀胱结石；等离子体；经尿道前列腺切除术；气压弹道碎石术[中图分类号]R697．3[文献标识码]A[文章编号]1003—4706(2006)03—0057—03ProstateHyperplasiaCombinedwithBladderCalculusTreatedwithPneumaticBallisticLithotrjps

3、yviaOuterSheathofResectoscopePlusTransurethralBipolarPlasmaKineticResectionCHENJian—heng，SHENJi—hong，LONGJiang，LIUXiao—dong(Dept．ofUrology，The1stAffiliatedHospitalofKunmingMedicalCollege。Kunming650032，China)[Abstract]ObjectiveToinvestigateamethodofpneumaticballisticlithotripsyviaoutersheathofr

4、e—sectoscopeplustransurethralbipolarplasmakineticresectionofprostate(TUPKRP)forthetreatmentofbenignprostatehyperplasia(BPH)combinedwithbladdercalculus．Methods21patientswithBPHandbladdercal-culusweretreatedwithpneumaticballisticlithotripsyperformedunderureteroscopeviaoutersheathofresecto-scope．

5、Aftercysticstoneswerebrokenintosmallfragments，aTUPKRPwasoperated．ResultsStoneswerethoroughlyremovedfromthebladderononesessioninall21patients．Theaverageresectedprostatictissuewas3O．2g．Nocaseneedsbloodtransfusion．Allpatientsweredischargedsuccessfullyandwithoutseverecomplica—tion．IPSSdecreasedfro

6、m(27．94-4．5)to(5．74-2．6)，Qmaxincreased(5．2±1．5)mL／sto(16．5±3．5)mL／s．ConclusionsThemethodofpneumaticballisticlithotripsyviaoutersheathofresectoscopeplusTUPKRPisaneffectiveandsafemicroinvasivesurgicaltreatmentofprostatehyperplasiacombinedwithbladdercalculus．[Keywords]Benignprostatichyperplasia；B

7、laddercalculus；Plasmakinetic；Transurethralresectionofprostate；Pneumaticballisticlithotripsy良性前列腺增生症(BPH)经常合并膀胱结石．2004年8月～2005年12月，我科采用经尿道[作者简介]陈剑珩(1973一)，男，浙江人，医学硕士，主治医师，主要从事微创泌尿外科临床及研究工作维普资讯http://www.cqvip.com58昆明医学院学报第27卷前列腺等离子体双极电切术