经尿道前列腺剜除联合耻骨小切口治疗重度前列腺增生并膀胱多发结石

目的探讨经尿道前列腺剜除联合小切口治疗重度前列腺增生并膀胱多发结石的临床意义。方法回顾性分析自2009年1月．2011年2月收治的14例重度前列腺增生并膀胱多发结石患者行经尿道前列腺剜除联合小切口取出前列腺剜除标本与多发结石的临床资料。结果手术时间为52—93分钟，术后患者血尿持续时间3．5d（1～5d），术中出血量30～110ml，均未输血，无水中毒及循环负荷过重。术后膀胱冲洗时间3．1d（1～5d），耻骨后引流管48～72／J＇~时拔除，术后7-9天拔除尿管，切口均甲级愈合。拔除尿管后，患者无明显尿频／尿急、排尿困难、尿路感染，无永久性尿失禁。结论采取经尿道前列腺剜除联合小切口取出剜除前列腺与多发结石的方法治疗重度前列腺增生并膀胱多发结石患者，手术时间短，痛苦少，恢复快。

Transurethral resection of prostate and combined minor-incision suprapubic lithotomy for severe benign prostatic hyperplasia associated with multiple bladder stones

Objective To evaluate the effect of combined transurethral resection of prostate(TURP) and cystolithotomy for the patients with severe benign prostatic hyperplasia with multiple bladder stones and investigate the clinical significance.Methods A total of 14 cases were studied retrospectively,admitted from Jan 2009 to Feb 2011 in Department of Urology,Guizhou People's Hospital.All the patients had severe benign prostatic hyperplasia with multiple bladder stones,and underwent combined transurethral resection o...