前列腺剜除术联合小切口膀胱切开术治疗大体积前列腺增生并膀胱结石的疗效观察.pdf

《前列腺剜除术联合小切口膀胱切开术治疗大体积前列腺增生并膀胱结石的疗效观察.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、临床泌尿外科杂志2O14年·688·JClinUrology(China)29卷8期前列腺剜除术联合小切口膀胱切开术治疗大体积前列腺增生并膀胱结石的疗效观察何庆鑫李学德江志勇樊胜海汪中兴贲晶华[摘要]目的：探讨“半微创技术”即经尿道2fam激光前列腺剜除术联合小切VI膀胱切开术，治疗大体积良性前列腺增生(BPH)合并大体积或多发膀胱结石的疗效。方法：对21例大体积BPH合并膀胱结石患者，采用经尿道2ptm激光剜除前列腺，后经耻骨上正中切口显露膀胱，将所剜除腺体及结石取出。结果：2l例手术均成功，手术时间明显缩短，患者均未输血。术后4～6d拔除尿管。术前与术后6个

2、月Q⋯分别为(6．1±2．6)ml／s和(20．5±4．3)ml／s；剩余尿分别为(125．7±61．5)m1与(19．0-2_-5．8)ml；国际前列腺症状评分(IPSS)分别为(21．6±5．2)分与(5．44-3．O)分；生活质量评分(OOI)分别为(4．3±0．5)分与(1．9±0．8)分。四项指标手术前后比较差异均有统计学意义(P

3、优点，对于大体积BPH合并膀胱多发结石或质硬、直径>3cm结石的高龄患者值得推荐应用。[关键词]前列腺增生；膀胱结石；2m激光前列腺剜除术；耻骨上膀胱切开取石术do~：10．13201／j．issn．1001—1420．2014．08．009[中圈分类号]R697．32[文献标识码]ASimultaneoustransurethralenucleationoftheprostatewithsmall-incisioncystolithotomyforpatientswithlargeprostateandlargevesicalcalculiHEQingxinL

4、IXuedeJlANGZhiyongFANShenghaiWANGZhongxingBIJinghua(DepartmentofAndrology，181stHospitalofPLA，Guilin，Guangxi，541002，China)Correspondingauthor：LIXuede，E—mail：llql@sina．comAbstractObjective：Toinvestigatetheclinicalvalueof2“mtransurethralenucleationandresectionoftheprostatecombinedwithsu

5、prapubiccystolithotomyandprostateremovalsurgery(half-minimalinvasivetechnique)inthemanagementofpatientswithlargeprostateandvesicalcalculi．Method：All21patientswithlargeprostateandlargevesicalcalculiweretreatedbytransurethralenucleationandresectionoftheprostatewiththeRevolix70W2micronc

6、ontinuouslaser．Thenepicystotomywasdonetoremoveenucleatedprostateglandandcalculi．Re-suit：Alloperationsweresuccessfu1．Operationtimewasshorterthantraditionaltherapy．Nobloodtransfusionwasneeded．Timeofindwellingurinarycatheterwas4-6days．Allpatientswerefollowedupforthreetosixmonths．Nopatie

7、ntshadurinaryfistulaandincisioninfection．Twopatientsexperiencedtemporaryurinaryincon—tinence．MeanQ⋯increasedfrom(6．1±2．6)ml／spreoperativelyto(20．5±4．3)ml／ssixmonthspostopera—tively．IPSSandQOIscoreimprovedfrom(21．6±5．2)and(4．3±0．5)to(5．4±3．0)and(1．9±0．8)sixmonthspostoperativelyrespect

8、ively(P