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碎石钳与钬激光在前列腺增生并膀胱结石的疗效比较
引用本文:刘定益,王健,王名伟,张翀宇,楚晨龙,周文龙.碎石钳与钬激光在前列腺增生并膀胱结石的疗效比较[J].中国内镜杂志,2011,17(9).
作者姓名:刘定益  王健  王名伟  张翀宇  楚晨龙  周文龙
作者单位:1. 上海浦南医院泌尿外科,上海,200125
2. 上海交通大学瑞金医院泌尿外科,上海,200025
摘    要:目的 比较经尿道大力碎石钳和钬激光在BPH合并膀胱结石中碎石的疗效和安全性.方法 把BPH合并膀胱结石73例分为两组,A组38例用大力碎石钳碎石后联合经尿道前列腺电切或经尿道前列腺电汽化术治疗.B组35例经尿道钬激光碎石后联合经尿道前列腺等离子双极电切治疗,对2组术中、术后并发症和碎石效果进行比较.结果 A组前列腺或膀胱损伤5例,碎石失败3例.术后尿道狭窄3例,碎石成功率为79.0%( 30/38),B组无术中并发症,35例全部碎石成功(35/35),术后尿道外口狭窄1例.A组与B组的碎石成功率比较差异有显著性(P<0.05).结论 经尿道钬激光碎石联合经尿道前列腺等离子双极电切治疗BPH合并膀胱结石是一种安全.高效的方法.

关 键 词:膀胱结石  前列腺增生  碎石钳  钬激光

The comparison of therapeutic effect between lithotrities and Ho:YAG laser in treating BPH complicated with bladder stones
LIU Ding-yi , WANG Jian , WANG Ming-wei , ZHANG Zhong-yu , CHU Wen-long , ZHOU Wen-long.The comparison of therapeutic effect between lithotrities and Ho:YAG laser in treating BPH complicated with bladder stones[J].China Journal of Endoscopy,2011,17(9).
Authors:LIU Ding-yi  WANG Jian  WANG Ming-wei  ZHANG Zhong-yu  CHU Wen-long  ZHOU Wen-long
Institution:LIU Ding-yi1,WANG Jian1,WANG Ming-wei2,ZHANG Zhong-yu2,CHU Wen-long2,ZHOU Wen-long2(1.Department of Urology,Shanghai Punan Hospital,Shanghai 200125,P.R.China,2.Department of Urology,Affiliated Ruijing Hospital of Shanghai Jiaotong University,Shanghai 200025,P.R.China)
Abstract:Objective] To compare the therapeutic effect and safety of transurethral lithotrite and Ho:YAG laser lithotripsy in treating BPH complicated with bladder stones.Method] We divided a total of 73 cases of BPH complicated with bladder stones into 2 groups.In group A,38 cases were performed of lithotrite lithotripsy combined with TURP or TUVP;in group B,35 cases received Ho:YAG combined with bipolar plasmakinetic prostatectomy,we compared the complication and effect of lithotripsy in and,after operation.Resu...
Keywords:bladder stones  benign prostatic hyperplasia  lithotrite  Ho:YAG laser  
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