摘要：
目的 探讨耻上Trocar穿刺膀胱取石术治疗良性前列腺增生并膀胱结石的价值.方法 选取2016年2月至2018年8月浦江县第二医院收治的良性前列腺增生并膀胱结石患者60例,依据手术术式将患者分为经尿道前列腺双极等离子电切术联合耻上膀胱切开取石术组(对照组30例)和经尿道前列腺双极等离子电切术联合耻上Trocar穿刺膀胱取石术组(研究组30例).比较两组患者的手术时间、取石时间、膀胱造瘘管拔除时间、尿管拔除时间、一次取石成功情况、术后并发症发生情况.结果 研究组手术时间、取石时间、膀胱造瘘管拔除时间、尿管拔除时间均显著短于对照组(t=6.965、4.541、3.365、3.306,均P＜0.05).研究组一次取石成功率为100.0％(30/30),显著高于对照组的86.7％ (26/30)(x2=12.83,P＜0.05).研究组术后并发症发生率为10.0％(3/30),显著低于对照组的23.3％ (7/30)(x2=13.34,P＜0.05).结论 耻上Trocar穿刺膀胱取石术治疗良性前列腺增生并膀胱结石的价值高.%Objective To evaluate the clinical value of suprapubic Trocar puncture lithotripsy in the treatment of benign prostatic hyperplasia and bladder stones.Methods From February 2016 to August 2018,60 patients with benign prostatic hyperplasia and bladder stones in the Second Hospital of Pujiang County were randomly selected.The patients were divided into transurethral prostatic bipolarplasma electrotomy group (control group,30 cases) and transurethral prostatic bipolar excision procedure combined with suprapubic Trocar puncture cystinolithotomy group (study group,30 cases) according to the operation methods.The operation time,stone extraction time,removal of bladder fistula time,catheter extraction time,success of one stone extraction,postoperative complications of the two groups were statistically analyzed.Results The operation time,stone removal time,bladder fistula removal time and catheter removal time of the study group were significantly shorter than those of the control group(t =6.965,4.541,3.365,3.306,all P ＜0.05).The success rate of the first stone extraction in the study group was 100.0％ (30/30),which was significantly higher than 86.7％ (26/30) in the control group (x2 =12.83,P ＜0.05).The incidence rate of postoperative complications in the study group was 10.0％ (3/30),which was significantly lower than 23.3％ (7/30) in the control group(x2 =13.34,P ＜ 0.05).Conclusion Suprapubic Trocar puncture lithotripsy has high value in the treatment of benign prostatic hyperplasia and bladder stones.
