前列腺增生电切术配合同期不同碎石术治疗前列腺增生合并膀胱结石的疗效及对其症状积分、生活质量的影响

目的 探讨前列腺增生（BPH）电切术配合同期不同碎石术治疗BPH合并膀胱结石的疗效及对其症状积分、生活质量的影响。方法 以本院2015年12月至2017年6月期间收治的92例BPH合并膀胱结石患者为研究对象。根据患者给予的治疗方式将其分为两组，观察组（经尿道前列腺增生电切术联合钬激光碎石术）46例，对照组（经尿道前列腺增生电切术联合气压弹道碎石治疗）46例。观察患者手术前后前列腺症状国际评分（IPSS）、最大尿流率（Q_max）、残余尿量（RUV）、生理状态、心理状态、主观判断评分情况；统计比较两组患者术后并发症发生情况。结果术前两组患者的IPSS评分、Q_max、RUV、生理状态、心理状态、社会功能状态、主观判断评分比较差异无统计学意义（P>0.05）；术后两组患者的IPSS评分、RUV均低于术前，且观察组患者IPSS评分、RUV与对照组相比明显较低（P<0.05），Q_max、生理状态、心理状态、社会功能状态、主观判断评分与术前相比明显提高，且观察组患者较对照组明显升高，组间差异有统计学意义（P<0.05）。观察组术后并发症发生率与对照组比较，差异有统计学意义（P<0.05）。结论 前列腺增生电切术联合钬激光碎石术治疗BPH合并膀胱结石的疗效显著，术后并发症发生率较低，对患者生活质量有所提高，可推广应用。

The efficacy of benign prostatic hyperplasia combined with different lithotripsy in the treatment of benign prostatic hyperplasia complicated with bladder stones and its effect on symptom score and quality of life

Objective  To investigate the efficacy of benign prostatic hyperplasia(BPH) combined with different lithotripsy in the treatment of BPH with bladder stones and its effect on symptom score and quality of life. Methods  From December 2015 to June 2017, 92 patients with BPH complicated with bladder stones admitted to our hospital were selected as subjects. According to the treatment mode given by the patients, they were divided into two groups. The observation group were treated with transurethral hyperplasia of the prostate combined with holmium laser lithotripsy, and the control group were treated with transurethral prostate hyperplasia combined with pneumatic ballistic lithotripsy. The international scores of prostate symptoms (IPSS), maximum urinary flow rate (Q_max), residual urine volume (RUV), physiological state, mental state, and subjective judgment scores were calculated before and after surgery. The incidence of postoperative complications in the two groups was statistically compared. Results  There were no significant differences in IPSS score Q_max,RUV, physiological status, mental status, social function status, and subjective judgment score between the two groups (P>0.05). The IPSS scores and RUV of the two groups were lower than those of the preoperative group, and the IPSS score and RUV of the observation group were significantly lower than those of the control group (P<0.05). The Qmax, physiological status, mental state, social function status, and subjective judgment scores of the two groups were significantly improved after surgery, and the scores of the observation group were significantly higher than those of the control group (P<0.05).  Conclusions   Prostatic hyperplasia combined with holmium laser lithotripsy is effective in the treatment of BPH with bladder stones. The incidence of postoperative complications is low, and the quality of life of patients is improved.