经尿道前列腺等离子切除术联合气压弹道碎石术治疗高龄高危前列腺增生合并膀胱结石的临床探析

目的 分析经尿道前列腺等离子切除术(PKRP)联合气压弹道碎石术治疗高龄高危良性前列腺增生（BPH）合并膀胱结石的临床疗效。方法 选择本院2016年2月至2017年12月的69例高龄高危BPH合并膀胱结石患者，随机分成：常规组34例行PKRP以及小切口取石术治疗；观察组35例行PKRP联合气压弹道碎石术治疗。对比两组的治疗效果。结果 两组的住院时间、置管时间、梗阻评分及显效率比较，差异有统计学意义（P＜0.05）。结论 针对高龄高危BPH合并膀胱结石患者行PKRP联合气压弹道碎石术的疗效显著，值得临床推广。

Clinical analysis of transurethral prostatectomy combined with pneumatic lithotripsy in the treatment of elderly high-risk prostatic hyperplasia complicated with bladder calculi

Objective  To analyze the clinical effect of transurethral plasmakinetic resection of prostate(PKRP) combined with pneumatic lithotripsy for the treatment of benign prostatic hyperplasia(BPH) with bladder stones in the elderly and high risk patients.Methods  From February 2016 to December 2017,69 cases of BPH patients with bladder stones were randomly divided into two groups,34 cases in routine group were treated with PKRP and small incision lithotomy.PKRP combined with pneumatic lithotripsy was performed in 35 patients of the treatment group.The therapeutic effects of the two groups were compared.Results  There were significant differences in hospitalization time, catheterization time,obstruction score and significant efficiency between the two groups(P<0.05) . Conclusions  PKRP combined with pneumatic lithotripsy is effective in the treatment of aged and high risk patients with BPH and bladder stones.