| 摘要: |
| ［摘要］ 目的 观察单纯碎石取石联合盐酸坦洛新缓释片治疗良性前列腺增生合并膀胱结石的疗效。方法 选择该院2015-04～2018-04收治的前列腺增生合并膀胱结石患者96例，随机分为对照组和观察组各48例，对照组采取气压弹道碎石取膀胱结石，术后用盐酸坦洛新缓释片治疗前列腺增生引起的下尿路梗阻。观察组行前列腺电切和气压弹道碎石取膀胱结石，术后同样使用盐酸坦洛新缓释片治疗前列腺增生引起的下尿路梗阻。比较两组术前术后前列腺症状情况、排石率及并发症发生率。结果 两组术前前列腺症状差异无统计学意义(P>0.05)，术后有明显改善（P<0.05），但观察组各项指标均优于对照组(P<0.05)。结论 对前列腺增生合并膀胱结石患者采取前列腺电切和气压弹道碎石取膀胱结石后，采取盐酸坦洛新缓释片单纯药物治疗，巩固了治疗效果，对前列腺增生有较好的改善效果。 |
| 关键词: 良性前列腺增生 膀胱结石 碎石 取石 疗效 |
| DOI：10.3969/j.issn.1674-3806.2019.07.20 |
| 分类号:R 697.3 |
| 基金项目: |
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| Effects of simple lithotripsy combined with tamsulosin hydrochloride sustained-release tablets in treatment of benign prostatic hyperplasia complicated with bladder stones |
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LIU Zhuo-wei
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Department of Urology, the First People′s Hospital of Qinzhou City, Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To analyze the effects of simple lithotripsy combined with tamsulosin hydrochloride sustained-release tablets in treatment of benign prostatic hyperplasia complicated with bladder stones. Methods Ninety-six patients with benign prostatic hyperplasia complicated with bladder stones were selected in our hospital from April 2015 to April 2018 and were randomly divided into control group and observation group, with 48 cases in each group. The control group was treated with pneumatic ballistic lithotripsy for bladder stones, and was treated with tamsulosin hydrochloride sustained-release tablets after operation for lower urinary tract obstruction due to benign prostatic hyperplasia. The observation group was treated with prostate electrotomy and pneumatic lithotripsy for bladder stones, and was treated with tamsulosin hydrochloride sustained-release tablets after operation for lower urinary tract obstruction due to benign prostatic hyperplasia. Preoperative and postoperative prostate symptoms, the rate of removed urinary calculi and incidene of complications were compared between the two groups. Results There were no significant differences in preoperative prostate symptoms between the two groups(P>0.05). The prostate symptoms were improved after operation in both of the two groups(P<0.05), but the indexes in the observation group were better than those in the control group(P<0.05). Conclusion Tamsulosin hydrochloride sustained-release tablets can consolidate the therapeutic effect of prostate electrotomy and pneumatic lithotripsy on benign prostatic hyperplasia complicated with bladder stones. The combined treatment has a good effect on prostatic hyperplasia. |
| Key words: Benign prostatic hyperplasia Bladder stones Lithotripsy Stone removal Curative effect |
