前列腺增生合并输尿管结石的同期腔内治疗

目的探讨同期腔内治疗前列腺增生合并输尿管结石的手术方法。方法采用输尿管镜气压弹道碎石术及经尿道前列腺电切术，同期腔内治疗前列腺增生合并输尿管结石患者72例。结果输尿管结石排净率为87．5％（63／72）；61例（84．7％）患者随访6-24个月，Qmax平均增至16．1ml／s，Qave平均增至10．5ml／s，RU平均降至16ml。IPSS平均8分。各项指标与术前相比，差异均有统计学意义（P〈0．01）。结论完善的围手术期系统治疗以及熟练的手术操作技能，可使同期行前列腺电切术及输尿管镜气压弹道碎石术成为能一次处理两种疾病、避免两次麻醉风险、患者痛苦少及治疗费用低的手术方式。

Simultaneous treatment of the benign prostate hyperplasia and ureteral calculi by means of endoscopic manipulation

Objective To evaluate the method that simultaneous treatment the benign prostate hyperplasia （BPH） and the ureteral calculi by means of endoscopic manipulation. Methods The adoption therapeutic effects of pneumatic lithotripsy under a ureterorenoscopy with transurethral resection of the prostate （TURP）, same period to cure 72 cases of benign prostate hyperplasia and ureteral calculi with endourology. Results Stone-free rate was 87.5%（63/72）; 61 cases （84.7%） were followed up for 6-24 months. The average maximum urinary flow rate （Qmax） was increased to 16.1ml/s. Average urinary flow rate （Qave） increased to 10.5 ml/s. The average residual urinary volume （RU） decreased to 16ml,and the average IPSS was 8.Compared with those of preoperation, the differences were statistically significant （P〈0.01）. Conclusion By perfect perioperative systematic treatment and proficiency Of skills, same period to adopt pneumatic lithotripsy under a ureterorenoscopy with transurethral resection of the prostate （TURP） were made the operation that treating two disease with one action, avoding twice anesthesia risk, reducing patient pain, cutting down medical expenses.