前列腺增生合并输尿管结石的同期微创治疗观察

目的分析前列腺增生合并输尿管结石的同期微创治疗疗效。方法 69例前列腺增生合并输尿管结石的患者作为研究对象,对其使用经尿道前列腺电气化术和钬激光碎石术进行同期微创治疗。结果 69例患者当中有62例患者原位碎石成功,手术成功率为89.9%,复检后,患者的碎石排尽率为95.7%。碎石后对患者进行经尿道前列腺电气化术,患者的最大尿流率、生活质量评分以及残余尿量分别为（22.1±4.7）ml/s、（2.5±0.5）分和（78±80）ml。结论前列腺增生合并输尿管结石的治疗中,使用同期经尿道前列腺电气化术和钬激光碎石术相比于传统手术期安全性更高,治疗效果也更加明显。

Observation on simultaneous minimally invasive treatment for benign prostatic hyperplasia complicated with ureteral calculi

Objective To analyze effect of simultaneous minimally invasive treatment for benign prostatic hyperplasia complicated with ureteral calculi. Methods Selected 69 cases of benign prostatic hyperplasia complicated with ureteral calculi patients as research objects, all treated by minimally invasive treatment of transurethral vaporization of the prostate and holmium laser lithotripsy. Results All 62 patients were treated successfully, the success rate of operation was 89.9%, after reinspection, stone discharging rate was 95.7%. After holmium laser lithotripsy, transurethral vaporization of the prostate for patients, maximal urinary flow rate, quality of life score and residual urine volume were（22.1±4.7） ml/s,（2.5±0.5） and（78±80） ml. Conclusion Compared to the traditional operation, minimally invasive treatment of transurethral vaporization of the prostate and holmium laser lithotripsy is more secure with more obvious effect in the treatment of benign prostatic hyperplasia complicated with ureteral calculi.