微创治疗前列腺增生症合并膀胱大结石

目的分析体外冲击波碎石术配合钬激光术经尿道前列腺电切术微创治疗前列腺增生合并膀胱大结石的治疗效果。方法回顾分析我科从2008年1月～2009年12月采用术前体外冲击波碎石、同期行钬激光碎石术及经尿道前列腺电切术治疗前列腺增生症合并膀胱大结石患者65例临床资料。结果65例患者全部治愈，结石清除率100％。无电切综合征、大出血、膀胱穿孔等发生，1例患者术后拔除导尿管后尿潴留。无尿失禁、尿道狭窄发生，膀胱结石无复发。术后3个月所有患者Qmax、PVR较术前均有显著改善（P〈0．01）。结论体外冲击波碎石配合钬激光治疗前列腺增生症合并膀胱大结石患者残余尿及最大尿流率明显改善，此方法手术时间短，并发症少，安全可靠，值得临床推广应用。

Minimally Treatment of Benign Prostatic Hyperplasia with Big Bladder Calculi

Objective To analysis the treatment efficacy of the Minimally treatment of benign prostatic hyperplasia with big bladder calculi. Methods From January.2008 to December.2009,The clinical data of 65 cases with benign prostatic hyperplasia with big bladder calculi were viewed .All cases were performed with Extracorporeal Shock Wave Lithotripsy ,then were performed with holnium laser lithotripsy and transurethral resection of the prostate simultaneously. Results All patients were cured and the calculi clearance rate was 100%.None of them had transurethral resection of the prostate syndrome,haemorrhage,blade perforation ere.The maximum urinary flow rate （Qmax） and postvoid residual （PVR）of all patients had to improve remarkably in 3 months.（P〈0.01）. Conclusion Extmcorporeal Shock Wave Lithotripsy with holnium laser lithotripsy can improve the Qmax and PVR of patients with benign prostatic hyperplasia with big bladder calculi remarkably.The method acted better in shorter operation time ,fewer complicating disease and reliable.