膀胱结石对经尿道前列腺电切术手术后患者疗效的影响

目的：探讨膀胱结石对经尿道前列腺电切手术（TURP）患者疗效的影响。方法：回顾性分析本院泌尿外科2011年6月至2012年6月行TURP治疗的35例前列腺增生（BPH）合并膀胱结石患者及同期行TURP治疗的40例单纯性前列腺增生患者的临床资料，对比分析单纯性前列腺患者与合并膀胱结石患者术后1个月、3个月、6个月及12个月国际前列腺症状评分（IPSS），并对膀胱结石形态、大小、数量对TURP的影响进行分析。结果：单纯BPH组患者术后1个月、3个月、6个月及12个月IPSS评分显著低于BPH合并膀胱结石组，差异有统计学意义（P＜0.05）。单纯BPH组IPSS改善率为62.50％，BPH合并膀胱结石组IPSS改善率为80.00％，差异有统计学意义（P＜0.05）。BPH 合并结石组残余尿量及前膀胱出口梗阻（BOO）无统计学差异，但多发结石组残余尿量及BOO高于单发结石组，大结石组残余尿量及BOO高于小结石组，差异有统计学意义（P＜0.05）。结论：膀胱结石是影响TURP术后预后的重要因素，术前积极治疗膀胱结石对改善BPH合并膀胱结石TURP术后症状具有积极意义。

Effect of bladder stones on postoperative patients with transurethral resection of the prostate

Objectives：To investigate the effect of bladder stones on postoperative patients with transurethral resection of the prostate （TURP）.Methods：The clinical date of 40 patients of simple benign prostatic hyperplasia （BPH）and 35 patients of both BPH and bladder stones after TURP surgery were retrospective analyzed from June 2011 to June 2012.The international prostate symptom score （IPSS）of simple BPH patients and patients with both BPH and bladder stones a month,3 months,6 months and 12 months after the surgery were compared.The effect of the shape,size and number of bladder stones on TURP was analyzed.Results：The IPSS of patients with simple BPH a month,3 months,6 months and 12 months after the treatment was lower than that of patient with both BPH and bladder stones,with statistical significance （P〈0.05 ）,and the IPSS improvement rate of the two groups were 62.50% and 80.00%respectively,with statistically significant difference （P〈0.05）.The residual urine volume and pre-bladder outlet obstruction （BOO）of patients with both BPH and bladder stones was of no significant difference, but multiple stones group and large stone group demonstrated higher residual urine volume and BOO than the single stone group and small stones group respectively;the difference was statistically significant （P〈0.05）.Conclusion：Bladder stones may significantly affect the prognosis of TURP,and preoperative active treatment of bladder stones is of positive importance in improving the prognosis of TURP for patients with both BPH and bladder stones.