经尿道前列腺汽化电切联合钬激光碎石治疗前列腺增生合并膀胱结石

目的探讨前列腺汽化电切(TUVP)和钬激光同期治疗前列腺增生合并膀胱结石的疗效及安全性。方法总结24例前列腺增生合并膀胱结石患者,应用钬激光经尿道膀胱镜粉碎膀胱结石并同期行TUVP的临床资料。结果24例患者中,膀胱结石均一次碎石成功,碎石后行TUVP,无膀胱结石残留、膀胱穿孔及水中毒发生,手术时间62~160min,平均手术时间88 min,切除前列腺质量20~120 g,平均38 g,术后平均拔除尿管时间3~6 d,平均4.75 d,平均住院时间10 d,所有患者术后均排尿通畅,无尿失禁。结论TUVP和钬激光同期治疗前列腺增生合并膀胱结石是一种安全有效的治疗方法,具有损伤小、结石清除率高、并发症少等优点。

Combined use of TUVP and Ho:YAG laser for treatment of patients with benign prostatic hyperplasia and bladder stones

Objective To evaluate the effect and safety of transurethral vaporesection of prostate(TUVP) combined with Ho:YAG laser lithothripsy for treatment of patients with benign prostatic hyperplasia and bladder stones.Methods Twenty-four cases of benign prostatic hyperplasia(BPH) complicated with bladder stones were performed by combined TUVP with Ho:YAG laser cystolithotripsy.Results The operations were successful in all cases,no patient developed a fistula,retention of cystolith and urinary retention.Conclusion TUVP combined with Ho:YAG laser cystolithotripsy is a safe and effective methed for patients with BPH and bladder stones,especially suitable for the elder and risky patients.