Effect of suprapubic lithocystotomy combined with transurethral resection of the prostate in the treatment of prostatic hyperplasia complicated with bladder stones
10.3760/cma.j.issn.1008-6706.2018.10.027
- VernacularTitle:经耻骨上膀胱切开取石术联合经尿道前列腺汽化电切术治疗前列腺增生症合并膀胱结石的效果观察
- Author:
Changhong XUN
1
Author Information
1. 043700,山西省垣曲县中条山集团总医院外科
- Keywords:
Prostatic hyperplasia;
Urinary bladder calculi;
Transurethral resection of prostate
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(10):1325-1328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of suprapubic lithocystotomy combined with transurethral resection of the prostate ( TURP) in the treatment of benign prostatic hyperplasia ( BPH) complicated with bladder stones ,and to summarize the surgical technique .Methods Eighty-two BPH patients with bladder stones were selected ,and they were randomly divided into two groups according to the digital table ,with 41cases in each group.The control group received TURP combined with pneumatic lithotripsy .The study group was treated with TURP combined with lithocystotomy .The treatment effect was compared between the two groups .Results The blood loss ,duration of stone surgery and total operative time in the study group were (64.1 ±1.3)mL,(12.6 ±2.5)min,(63.1 ±1.6)min, respectively,which were significantly lower than those in the control group [(92.1 ±1.8) mL,(23.6 ±2.1) min, (83.1 ±1.7)min,t=17.294,11.391,15.125,all P<0.05].The maximal urinary flow rate (Qmax) of the study group was (18.4 ±4.3)mL/s,which was significantly higher than (9.5 ±5.1)mL/s of the control group(t =15.294,P<0.05).The international prostate symptoms score (IPSS),residual urine volume (RUV),quality of life (QOL) score in the study group were (8.8 ±1.7)points,(15.8 ±5.3)mL,(1.4 ±0.6)points,which were signifi-cantly lower than those in the control group [(17.3 ±2.8)points,(42.5 ±6.1)mL,(3.6 ±1.8)points] (t=15.391,22.125,12.935,all P<0.05).The incidence rate of postoperative complications in the study group (7.1%) was significantly lower than 40.5%in the control group (χ2 =6.935,P<0.05).Conclusion TURP combined with lithocystotomy in the treatment of BPH complicated with bladder stones is helpful to improve the therapeutic effect and reduce the risk of complications .
