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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

02

期数:

2002年3期

页码:

182-183

栏目:

经验交流

出版日期:

2002-06-29

文章信息/Info

Title:

Non-open operation approach for the treatment of bening prostatic hyperplasia (BPH) complicated with Big Bladder Stones

作者:

周长春

浙江省东阳市人民医院泌尿外科,东阳,322100

Author(s):

Zhou Changchun.

Department of Urology,The People’sHospital ofDongyang,Dong Yang,Zhe- jang322100,China

关键词:

前列腺增生症 膀胱结石 微创

Keywords:

Bening prostatic hyperplasia　Bladder stone　Minimally invasive snrgery

分类号:

R694.4

文献标志码:

B

摘要:

目的探讨前列腺增生症并膀胱大结石的微创治疗方法. 方法总结体外冲击波碎石(ESWL),直视下膀胱镜碎石钳机械碎石,以及经尿道前列腺电切或电汽化(TURP或TUVP)配合治疗前列腺增生症并膀胱大结石30例. 结果 29例膀胱结石清除彻底,TURP或TUVP顺利完成.经尿道操作时间短,创伤及痛苦小,效果满意.无严重并发症,随访无结石复发. 结论 ESWL,直视下膀胱镜碎石钳机械碎石与TURP或TUVP配合治疗前列腺增生症并膀胱大结石是一种非开放性的手术方法,创伤小,效果好.尤其适合高龄或伴有多种心肺疾病,手术危险性大者.其成功的关键是上述各种技术良好的配合.

Abstract:

Objective　To evaluate the mini-invasion approach for the treatment of BPH complicated with big bladder stones.　Methods　The clinical data of 30 cases of BPH complicated with big bladder stones treated by ESWL,mechanical lithotripsy using the visual lithotriptoscope and TURP or TUVP were retrospectively reviewed.　 Results　29 cases of big bladder stones were cleared up completely,and all of themwere operated on successfully by TURP ofTUVP.The operation time was shortwith minimal invasionThe results were satisfactory.No severe complica- tions and bladder stones have recurred up to now.　Conclusions　ESWL combined with mechanical lithotropsy using the visual lithotroptoscopy and TURP orTUVP is an effective.and non-open operation approachwith mini-invasion for the treatment of BPH with big bladder stones.It applys to old patients with cardiovascular and pulmonary condi- tions,which would elevate the risk of operation.Proficiency in the technique is a key to a successful operation.

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更新日期/Last Update: 2014-07-18