经膀胱碎石和前列腺电切治疗巨大前列腺并膀胱结石

目的 探讨巨大前列腺并膀胱结石患者同时行耻骨上经膀胱气压弹道碎石和前列腺电切的效果。方法 对21例同时行耻骨上膀胱气压弹道碎石术及经尿道前列腺电切术患者进行回顾总结。结果 所有患者均一次性治疗成功，除碎石时膀胱粘膜有散在充血、水肿外，无膀胱穿孔发生，未见结石复发及尿失禁和尿道狭窄等并发症。结论 同时进行耻骨上气压弹道碎石术和经尿道前列腺电切术是治疗巨大前列腺并膀胱结石的一种高效、安全的方法。

One-stage pneumatic lithotripsy and transurethral resection of the prostate for large prostate and bladder stone

Objective To investigate the therapeutic e ff ects of suprapubic ballistic vesicolithotrity followed by transurethral resectio n of the prostate(TURP) in patients with large prostate and bladder stone. Methods A total of 21 old patients with large prostate and bladde r stone, aged 65-89 years (average 72 years), underwent ballistic lithotripsy fo llowed by TURP. Results All bladder stone were fragmented with the ballistic Swiss Lithoclast, The intr aoperative hemorrhage was 90-230 ml with an average of 140 ml. The operation tim e was 100-160 min. One month later, the IPSS score was 14 and the maximum urine flow rate was 16.8 ml/s. Other than scattered engorge and edema in mucous membra ne of bladder during lithotripsy, no vesical perforation, stone recurrence, inc ontinence and urethral strictur e were found. Conclusion The combination of suprapubic ballis tic vesicolithotrit y and TURP is an effective, safe, and economical treatment for patients w ith bladder stone and large prostate.