Analysis of clinical efficacy of transurethral plasmakinetic resection of prostate combined with pneumatic lithotripsy in the treatment of benign prostatic hyperplasia and bladder stones
10.3760/cma.j.issn.1008-6706.2018.02.021
- VernacularTitle:经尿道前列腺等离子电切术联合气压弹道碎石术治疗前列腺增生合并膀胱结石的临床效果分析
- Author:
Hao CHEN
1
Author Information
1. 湖南省人民医院马王堆院区泌尿外科
- Keywords:
Prostatic hyperplasia;
Transurethral resection of prostate;
Lithotripsy;
Urinary bladder calculi
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(2):212-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the clinical efficacy and adverse reactions of transurethral plasmakinetic resection of prostate ( PKRP ) combined with pneumatic lithotripsy ( TULT ) in the treatment of benign prostatic hyperplasia(BPH) and bladder stones.Methods 78 cases with BPH and bladder stones were selected as the study subjects ,and they were randomly divided into two groups ,39 cases in each group .They were all treated with transure-thral PKRP,on this basis,patients in the control group were treated with small incision incision ,patients in the obser-vation group were treated with TULT .The clinical effect and complications were analyzed .Results The gravel time of the observation group was (28.56 ±4.73) min,which was significantly shorter than that of the control group .The intraoperative blood loss in the observation group was (103.47 ±10.58)mL,which was significantly less than that of the control group,there were statistically significant differences between the two groups (t =6.44,6.85,all P <0.05).There was no statistically significant difference in the operation time between the two groups (t=1.44,P>0.05 ) .The postoperative catheterization time ,bladder irrigation time and hospitalization time in the observation group were (5.26 ±1.38)d,(1.27 ±0.84)d and (6.34 ±1.25)d,respectively,which were significantly shorter than those in the control group,the differences were statistically significant (t=7.84,7.16,8.01,all P<0.05).The postopera-tive residual urine volume,IPSS score and QOL score in the observation group were (36.19 ±17.22)mL,(10.26 ± 1.58)points and (2.11 ±0.84)points,respectively,which were significantly lower than preoperation ,the Qmax was (13.98 ±2.46)mL/s,which was significantly higher than preoperation ,there were statistically significant differences (t=8.97,7.80,7.62,7.54,all P<0.05).There were no statistically significant differences between the observation group and the control group (t=1.44,2.06,1.86,2.30,all P>0.05).The incidence rate of complications of the observation group was 2.56％,which was significantly lower than 5.13％of the control group(χ2 =2.36,P>0.05). Conclusion The clinical efficacy and adverse reactions of transurethral PKRP combined with TULT in the treatment of BPH and bladder stones has significant effect , the utility model has the advantages of simple operation , small trauma,quick recovery and less complications ,it can be used as the first choice for the treatment of elderly patients with BPH and bladder stones .
