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目的探讨经尿道前列腺汽化电切术(TURP)联合腹腔镜治疗良性前列腺增生(BPH)合并膀胱结石的临床疗效。方法 36例确诊为良性前列腺增生合并膀胱结石的患者行前列腺汽化电切术,经腹腔镜碎石取石术,分别对患者术前术后国际前列腺症状评分(IPSS)、膀胱残余尿量、最大尿流量、生活质量评分(QOL)进行测定和比较。结果 36例均一次手术成功,取石率可达100%。术后患者IPSS和QOL评分均分别由(24.6±4.1)分和(4.6±1.2)分明显下降至(9.4±2.2)分和(2.6±0.8)分,膀胱残余尿量明显减少或消失,最大尿流量明显增大,上述指标与术前比较差异均有统计学意义(P<0.05)。结论经TURP联合腹腔镜治疗BPH合并膀胱结石具有良好的临床疗效和安全性。
Objective To investigate the clinical effects of transurethral vaporization of the prostate (TURP) combined with laparoscopy in the treatment of benign prostatic hyperplasia (BPH) combined with bladder stones. Methods Thirty-six patients diagnosed as benign prostatic hyperplasia with vesical calculi underwent prostate electrovaporization and laparoscopic lithotripsy. The scores of International Prostate Symptom Score (IPSS), residual bladder volume, maximal urinary volume Flow, quality of life score (QOL) were measured and compared. Results 36 cases were successful in one operation, the stone extraction rate of up to 100%. The postoperative IPSS and QOL scores decreased significantly from (24.6 ± 4.1) and (4.6 ± 1.2) points to (9.4 ± 2.2) points and (2.6 ± 0.8) points, respectively. The residual urinary bladder volume significantly decreased or disappeared, Urinary flow increased significantly, the above indicators compared with the preoperative difference was statistically significant (P <0.05). Conclusion TURP combined with laparoscopic treatment of BPH with bladder stones has good clinical efficacy and safety.