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不同手术方法治疗良性前列腺增生合并膀胱结石的疗效对比
引用本文:韩兴涛,魏鹏涛,张寒,霍庆祥.不同手术方法治疗良性前列腺增生合并膀胱结石的疗效对比[J].现代保健,2014(5):10-11.
作者姓名:韩兴涛  魏鹏涛  张寒  霍庆祥
作者单位:郑州大学附属洛阳中心医院,河南洛阳471009
摘    要:目的:研究通过不同的手术方法对良性前列腺增生合并膀胱结石的患者进行治疗的临床效果。方法:对本院2010年1月-2013年1月期间接受治疗的100例良性前列腺增生合并膀胱结石患者的资料进行回顾性分析,将患者按照手术方式分成观察组和对照组,每组50例,其中对照组手术方式为在尿道的直视下将电切镜插入,然后分次使用钳取出膀胱内结石;而观察组患者手术方式则是采用经过皮肾镜,利用气压弹道碎石机对膀胱实施气压弹道的碎石,然后行前列腺的电切术。对比观察两组患者的取石时间和总的手术时间以及膀胱的冲洗时间,记录留置导尿的时间以及住院时间。结果:两组患者在取石时间、总手术时间、膀胱冲洗时间、留置导尿时间和住院时间上比较差异均无统计学意义(P>0.05)。结论:在临床上采取两种手术方法均可以治疗良性前列腺增生合并膀胱结石。

关 键 词:电切镜  经皮肾镜  前列腺增生  膀胱结石  手术

Comparison of Different Operating Methods in Treatment of Benign Prostatic Hyperplasia Combined with Cystolith
Affiliation:HAN Xing-tao, WEI Peng-tao, ZHANG Han, et al( Luoyang Center Hospital Affiliated to Zhengzhou University , Luoyang471009, China)
Abstract:Objective:To study the clinical effects of patients with different operating methods treating benign prostatic hyperplasia combined with cystolith. Method:Retrospective analysis were done in 100 patients with benign prostatic hyperplasia combined with cystolith treatment from January 2010 to January 2013 in our hospital. The patients were randomly divided into observation group and control group according to operating methods and each group had 50 patients.The operating method of the observation group was to insert resectoscope under the orthophoria of urethral and take out of the stones in cystolith by pincers. Operating method of observation group was to adopt nephroscope and use air pressure trajectory stone breaker to break the stones for bladder. Electrocision of prostate were done.Stone-taking time,total operating time,washing time of bladder,retention catheterization time,and hospital stays time of two groups were compared. Result:The differences of stone-taking time,total operating time,washing time of bladder,retention catheterization time,and hospital stays time in two groups had no statistic significance(P>0.05). Conclusion:The two operating methods can be adopted in the clinic to treating the patients suffering from benign prostatic hyperplasia combined with cystolith.
Keywords:Resectoscope  Percutaneous nephroscope set  Benign prostatic hyperplasia  Cystolith  Operation
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