2微米激光联合小切口治疗高危前列腺增生合并膀胱结石的临床研究

目的：探讨2微米激光联合小切口治疗高危前列腺增生合并膀胱结石的疗效和安全性。方法：2013年1月至2013年10月采用2微米激光联合小切口治疗高危前列腺增生合并膀胱结石45例,观察临床效果及并发症情况。结果：本组手术均获成功,本组患者手术时间30-130min,平均69min,其中取石时间10-25min,平均17 min。术中出血60-200mL,均未输血。术后留置尿管4-7d,膀胱造瘘管1-2d,住院时间8-15d,Qmax、IPSS等指标得到改善,未见并发症。结论：2微米激光联合小切口治疗高危前列腺增生合并膀胱结石具有出血少、围手术期安全性高,并发症少等优点,是高危前列腺增生并发膀胱结石理想的治疗方法。

The Treatment of Benign Prostatic Hyperplasia Complicated with Bladder Stones by Means of Two-micron Laser Through Urethra Combined with Small Incision

Objective： To probe into the efficacy and safety of clinical research for the treatment of benign prostatic hyperplasia complicated with bladder stones by means of two- micron laser through urethra combined with small incision. Method： From January,2013 to October,2013,45 cases of benign prostatic hyperplasia complicated with bladder stones by means of two-micron laser through urethra combined with small incision and observed the clinical effect were treated successfully and complications. Result： The operation times was 30 min to 130 min,69min on the average. Stone extraction accounts for 10 to 25min,averaging 17min. Bleeding during the operations ranges from 60-200mL with no blood transfusion.Indwelling urinary catheter for 4 to 7 days after the operation and bladder fistula one to two days. The median length of hospital stay was 8-15 days. Qmax and IPSS have been improved with no complications. Conclusion： Such are the advantages of the treatment of benign prostatic hyperplasia complicated with bladder stones by means of two-micron laser through urethra combined with small incision： with less bleeding,safety during operation as well as less complications.