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前列腺增生并发较大膀胱结石的微创处理
引用本文:吴昀,高希景,程文超.前列腺增生并发较大膀胱结石的微创处理[J].实用全科医学,2010,8(1):31-31,133.
作者姓名:吴昀  高希景  程文超
作者单位:河南科技大学第三附属医院洛阳东方医院泌尿外科,471003
摘    要:目的探讨治疗前列腺增生(benign prostate hyperplasia,BPH)并发较大膀胱结石安全、高效的手术方法、疗效和经验。方法20例患者硬腰联合麻醉(combined spinal—epidural anesthesia,CSEA)后,采用经尿道前列腺汽化电切术(transurethral electrovaporization of the prostate,TURVP)加耻骨上小切口膀胱切开取石术(suprapubic lithotomy of the bladder,SCL)治疗BPH并发较大膀胱结石,并分析其疗效。结果所有患者均一次性治疗成功,无严重出血、电切综合症等严重并发症的发生,术后复查泌尿系平片、B超,膀胱内均无结石残留,清石率达100%。术后国际前列腺症状评分(international prostate symptomscore,IPSS)平均8.5分。结论TURVP结合SCL是治疗BPH并发较大膀胱结石的一种安全、有良好效果的治疗方法。

关 键 词:前列腺增生  膀胱结石  电切镜术

Micro-Traumatic Treatment of Benign Prostate Hyperplasia Combined with Larger Bladder Calculi
WU Yun,GAO Xi-jing,CHENG Wen-chao.Micro-Traumatic Treatment of Benign Prostate Hyperplasia Combined with Larger Bladder Calculi[J].Applied Journal Of General Practice,2010,8(1):31-31,133.
Authors:WU Yun  GAO Xi-jing  CHENG Wen-chao
Institution:WU Yun,GAO Xi-jing,CHENG Wen-chao.Department of Urology,Dongfang Hospital of Luoyang,the Third Affiliated Hospital of He\'nan Science , Technology University,Luoyang 471003,He\'nan,China
Abstract:Objective To investigate the safe and effective surgical method for benign prostate hyperplasia(BPH) combined with larger bladder calculi.Methods After combined spinal-epidural anesthesia,total 20 cases of BPH with larger bladder calculi were treated with transurethral electro-vaporization of the prostate(TURVP) and suprapubic lithotomy of the bladder.The postoperative outcomes were analyzed.Results All 20 cases were successfully treated.There were no serious complications such as residual calculi,serious b...
Keywords:Benign prostate hyperplasia  Bladder calculi  Resectoscope  
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