| 摘要: |
| 目的:研究独一味胶囊辅助经尿道微创手术治疗高龄高危患者前列腺增生( BPH)合并膀胱结石的临床效果。方法:选取我院 2019年 1月—2019年 9月收治的高龄 BPH合并膀胱结石患者 180例，随机分为对照组和研究组各 90例，两组均采用经尿道前列腺电切术 (TURP)联合钬激光( HLL)碎石术进行治疗，研究组在手术治疗的基础上术前、术后口服独一味胶囊， 0.9 g/d，比较两组的手术时间、术中出血量、膀胱冲洗时间、留管时间、术后住院时间、并发症例数、手术前后 1个月最大尿流率、残余尿量、术前国际前列腺症状( IPSS)评分、生活质量( QOL)评分、梗阻评分。结果:研究组与对照组相比，术中出血量 [(67.2±6.6)mL vs(75.4±8.2)mL]、术后出血( 4例 vs 12例)、术后出血量 [(28.5±4.9)mL vs(35.4±5.7)mL]、术后 1个月 IPSS评分 [(6.84±1.3)vs(8.4±1.9)]、QOL评分 [(2.3±0.5)vs(3.5±0.7)]均显著较低，差异有统计学意义(P<0.05)。结论:在 TURP联合 HLL碎石术治疗高龄高危患者 BPH合并膀胱结石的过程中，服用独一味胶囊可显著提高手术疗效。 |
| 关键词: 经尿道前列腺电切术 钬激光碎石术 独一味胶囊 前列腺增生 膀胱结石 |
| DOI：10.3969/j.issn.1007-6948.2021.02.015 |
| 投稿时间：2020-09-18 |
| 基金项目:深圳市宝安区科技计划项目( 2009345) |
|
| Study of Compound Lamiophlomis Rotata Capsule Assisted Transurethral Surgery in the Treatment of Senile and High Risk BPH Complicated with Bladder Stones |
| He Qian,Peng Nai-xiong,Wang Qin-jun |
| Department of Urology, Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong 518110, Chnia |
| Abstract: |
| Objective To study the effect of lamiophlomis rotata capsule assisted transurethral minimally invasive surgery in the treatment of prostatic hyperplasia with bladder stones for the elderly and high-risk patients. Methods 180 patients with BPH and bladder stone were randomly divided into two groups: control group and study group. The two groups were treated with TURP and HLL. The study group took lamiophlomis rotata capsule before and after operation, 0.9g/day, three times a day, on the basis of hand operation. The results were as follows: operation time, intraoperative bleeding volume, bladder washing time, retention time, postoperative hospitalization time, number of complications, maximum urine flow rate before and after operation, residual urine volume, preoperative International Prostate Symptom Score (IPSS), quality of life score (QOL) and obstruction score. Results Compared with the control group, the bleeding volume [(67.2±6.6ml) vs (75.4±8.2ml)], bleeding volume (4 vs 12), bleeding volume [(28.5±4.9)ml vs (35.4±5.7)ml], IPSS score [(6.84±1.3) vs (8.4±1.9)] and QOL score [(2.3±0.5) vs (3.5±0.7)] in the study group were signi?cantly lower than those in the control group (P<0.05). Conclusion In the course of TURP combined with HLL lithotripsy in the treatment of BPH with bladder stones for the elderly and high-risk patients, lamiophlomis rotata capsule could signi?cantly improve the surgical treatment. |
| Key words: Transurethral resection of the prostate holmium laser lithotripsy lamiophlomis rotata capsule prostatic hyperplasia bladder stones |
