摘要
目的分析经尿道膀胱钬激光碎石术联合经尿道双极等离子前列腺汽化电切术(PKRP)对良性前列腺增生合并膀胱结石患者下尿路症状及术后疼痛视觉模拟评分法(VAS)的影响。方法选择2021年8月—2023年8月该院收治的74例良性前列腺增生合并膀胱结石患者为研究对象,采用抽签法将其随机分为对照组与观察组,各37例。两组患者均给予PKRP治疗,对照组加用气压弹道碎石术治疗,观察组加用钬激光碎石术治疗,对比两组患者的围术期指标、下尿路症状、VAS评分、取石成功率及并发症发生率。结果术后,观察组下尿路症状评分、VAS评分均低于对照组,组间差异有统计学意义(P<0.05)。观察组一次性结石清除率为97.30%,高于对照组的75.68%,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,但组间差异无统计学意义(P>0.05)。观察组手术时间短于对照组,差异有统计学意义(P<0.05);观察组术中出血量少于对照组,住院时间短于对照组,但组间差异无统计学意义(P>0.05)。结论针对良性前列腺增生合并膀胱结石患者实施经尿道膀胱钬激光碎石术联合PKRP治疗,能够改善患者下尿路症状,减轻患者的疼痛度,联合手术方式能够提高取石率。
Objective To analyze the effects of transurethral bladderholmium laser lithotripsy combined with transurethral plasma kinetic resection of prostate(PKRP)on lower urinary tract symptoms and postoperative pain in patients with benign prostatic hyperplasia complicated with bladder stones by pain Visual Analogue Scale(VAS).Methods Seventy-four patients with benign prostatic hyperplasia complicated with bladder stones admitted to our hospital from August 2021 to August 2023 were selected as the research objects,and randomly divided into a control group and an observation group with 37 cases in each group by drawing lot.The two groups were treated with PKRP,the control group w as treated with pneumatic ballistic lithotripsy,and the observation group was treated with holmium laser lithotripsy.Perioperative indexes,lower urinary tract symptoms,VAS score,success rate of lithotomy and incidence of complications were compared between the two groups.Results After operation,lower urinary tract symptom score and VAS score in observation group were lower than those in control group,and the difference between groups was statistically significant(P<0.05).The one-time stone clearance rate of the observation group was 97.30%,which was higher than 75.68%of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,but there was no significant difference between the two groups(P>0.05).The operation time in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).The intraoperative blood loss and hospital stay in the observation group were less than those in the control group,but there was no statistical significance between the groups(P>0.05).Conclusion Transurethral bladder holmium laser lithotripsy combined with PKRP can improve the symptoms of lower urinary tract and reduce the pain of patients with benign prostatic hyperplasia complicated with bladder stones,and the combined operation can increase the rate of stone removal.
作者
王威
梁艳华
WANG Wei;LIANG Yanhua(Department of Urology,Shandong First Rehabilitation Hospital,Linyi 276032,China;Department of Medical,Shandong First Rehabilitation Hospital,Linyi 276032,China)
出处
《反射疗法与康复医学》
2024年第8期137-140,共4页
Reflexology And Rehabilitation Medicine
作者简介
王威(1976-),男,山东临沂人,硕士研究生,副主任医师,研究方向:微创泌尿外科临床疾病诊治。
