| 气压弹道联合超声碎石术和经尿道前列腺汽化电切术治疗良性前列腺增生合并膀胱结石 |
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| 引用本文： | 安尼瓦尔·牙生,宋光鲁,李建兴,王玉杰. 气压弹道联合超声碎石术和经尿道前列腺汽化电切术治疗良性前列腺增生合并膀胱结石[J]. 中国微创外科杂志, 2008, 8(4): 323-324 |
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| 作者姓名： | 安尼瓦尔·牙生 宋光鲁 李建兴 王玉杰 |
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| 作者单位： | 1. 北京大学人民医院泌尿外科,北京,100044
2. 新疆医科大学第一临床医学院泌尿外科,乌鲁木齐,830054 |
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| 摘 要： | 目的探讨前列腺增生合并膀胱结石有效的治疗方法。方法采用瑞士EMS第3代超声/弹道碎石清石系统(LithoClast Master)和经尿道前列腺汽化电切术(transurethral resection of the prostate,TURP)治疗前列腺增生合并膀胱结石33例。结果33例均一次手术成功,碎石时间15~65min平均35min;前列腺电切时间50~110min,平均85min。术中术后均无输血,无电切综合征、膀胱穿孔、结石残留等并发症。术后5d拔除尿管,无排尿困难、尿失禁等。病理结果均为良性前列腺增生。术后3个月,国际前列腺症状评分由(23.4±5.2)分下降至(7.4±1.2)分(t=3.732,P=0.000),最大尿流率由(5.4±1.5)ml/s升至(18.6±3.2)ml/s(t=2.491,P=0.015),生活质量评分由(3.9±1.2)分降至(2.0±0.7)分(t=2.454,P=0.014)。结论瑞士EMS第3代超声/弹道碎石清石系统和经尿道前列腺汽化电切术能有效治疗良性前列腺增生合并膀胱结石。
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| 关 键 词： | 前列腺增生症 膀胱结石 气压弹道碎石 经尿道前列腺电切术 |
| 文章编号： | 1009-6604(2008)04-0323-02 |
| 修稿时间： | 2007-01-15 |
PCNL Combined with TURP for Benign Prostatic Hyperplasia Complicated with Bladder Stones |
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| Affiliation: | Aniwar Yasn; Song Guanglu; Li Jianxing; et al.Department of Urology; First Hospital of Xinjiang Medical University; Urumchi 830054; China; |
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| Abstract: | Objective To explore an effective treatment for benign prostatic hyperplasia complicated with bladder stones.Methods Swiss LithoClast Master and transurethral resection of the prostate(TURP)were performed on 33 patients with benign prostatic hyperplasia complicated with bladder stones.Results The operations were completed successfully in all the cases with a mean lithoclasty time of 35 min(15-65 min),and mean TURP time of 85 min(50-110 min).No blood transfusion,TUR syndrome,bladder perforation,or residual s... |
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| Keywords: | Benign prostatic hyperplasia Bladder stone PCNL TURP |
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