经尿道前列腺电切(TURP)联合输尿管镜钬激光碎石术治疗前列腺增生症(BPH)合并膀胱结石的疗效观察

摘要

Objective: To observe and analyze the effect of transurethral resection of the prostate combined with holmium laser in treating benign prostatic hyperplas ( BPH ) and bladder stones. Methods: Holmium laser was used for bladder stones, and then transurethral resection of prostate( TURP ) for BPH in 61 patients. Results:The 61 cases were done well at one time. The stones were broken well and the patient' s urination was smooth, the international prostate symptom score ( IPSS )decreased from 24. 4 to 9. 4 and the peak flow rate of urine increased from 7. 2 mL/s to 19. 5 mL/s. Conclusion : Holmium laser and TURP operating for BPH with bladder stones at onetime is safty and effective.%目的:观察分析经尿道前列腺电切(TURP)联合输尿管镜钬激光碎石术治疗前列腺增生症(BPH)合并膀胱结石的效果.方法:本组61例患者先行膀胱结石钬激光碎石,然后采用经尿道前列腺电切术(TURP)治疗前列腺增生症.结果:61例一次性治疗成功,术后结石无残留,排尿情况较前明显改善,IPSS评分均分由24.4分降到9.4分,最大尿流率由7.2 mL/s上升到19.5 mL/s.结论:钬激光碎石及TURP同期治疗前列腺增生合并膀胱结石是安全有效的方法.