经尿道手术治疗前列腺增生症合并膀胱结石的效果观察

目的：探讨经尿道手术治疗前列腺增生症合并膀胱结石的临床效果。方法：选取2011年2月-2013年10月本院收治的80例前列腺增生症合并膀胱结石患者，按照治疗方法将其随机分为治疗组和对照组各40例，对照组采用经尿道前列腺切除术联合碎石钳碎石治疗，治疗组采用经尿道前列腺切除术联合钬激光碎石治疗，观察比较两组患者的碎石时间、碎石成功率、术前及术后1个月的MRF和IPSS评分。结果：结石直径〈1．5cm的患者，两组的碎石时间及碎石成功率比较差异均无统计学意义（P〉0．05）；结石直径为1．5-2．5cm的患者，两组的碎石时间比较差异无统计学意义（P〉0．05），但治疗组的碎石成功率明显高于对照组，差异有统计学意义（P〈0．05）；结石直径〉2．5cm的患者，治疗组的碎石时间明显短于对照组，且碎石成功率明显高于对照组，差异均有统计学意义（P〈0．05）。两组患者治疗后MRF和IPSS评分均明显优于治疗前，两组治疗后1个月的MRF和IPSS评分比较差异均无统计学意义（P〉0．05）。结论：对于直径〈1．5cm的结石两种治疗方法的治疗效果相当，但是对于直径〉2．5cm的结石，应首选经尿道前列腺切除术联合钬激光碎石治疗。

Observation of Transurethral Surgery in the Treatment of Prostatic Hyperplasia Complicated with Bladder Calculi

Objective： To explore the clinical effect of transurethral surgery treatment of prostatic hyperplasia complicated with bladder calculi.Method： 80 patients with prostatic hyperplasia complicated with bladder calculi were selected in our hospital from February 2011 to October 2013, according to the methods of treatment they were randomly divided into the treatment group and the control group, 40 cases in each group.The control group was treated by transurethral resection of the prostate combined with crushing forceps lithotripsy therapy.The treatment granp was treated by transurethral resection of the prostate combined with holmium laser lithotripsy treatment.The gravel time, success rate of lithotripsy, preoperative and postoperative 1 month of MRF and IPSS score between the two groups were observed and compared.Result： The diameter of stone〈1.5 cm of the patients, the rubble time and the success rate of gravel between the two groups had no statistically significant differences （ P〉0.05 ） ; the diameter of stone was 1.5-2.5 cm of the patients, the differences in the rubble time between the two groups had no statistically significant difference （ P〉O.05 ）, but the rubble success rate of the treatment group was significantly higher than that of the control group, the difference was statistically significant （ P〈0.05 ） ; the diameter of stone was〉2.5 em of the patients, the rubble time of the treatment group was significantly shorter than the control group, the rubble success rate was significantly higher than that of the control group, the differences were statistically significant （ P〈0.05 ） .Two groups of patients after treatment, MRF and IPSS were significantly better than before treatment, MRF and IPSS score after 1 month treatment between the two groups had no statistical significance （ P〈0.05 ） .Conclusion： For the diameter of stone〈1.5 cm, two methods of treatment have the same therapeutic effect, but for the diameter of stone 〉2.5 cm, should be preferred by transurethral resection of the prostate combined with holmium laser lithotripsy therapy.