Analysis of clinical efficacy of transurethral plasmakinetic resection of prostate combined with pneumatic lithotripsy in the treatment of benign prostatic hyperplasia and bladder stones

Abstract

Objective To analyse the clinical efficacy and adverse reactions of transurethral plasmakinetic resection of prostate(PKRP) combined with pneumatic lithotripsy(TULT) in the treatment of benign prostatic hyperplasia(BPH) and bladder stones. Methods 78 cases with BPH and bladder stones were selected as the study subjects, and they were randomly divided into two groups, 39 cases in each group. They were all treated with transurethral PKRP, on this basis, patients in the control group were treated with small incision incision, patients in the observation group were treated with TULT. The clinical effect and complications were analyzed. Results The gravel time of the observation group was (28.56±4.73)min, which was significantly shorter than that of the control group. The intraoperative blood loss in the observation group was (103.47±10.58)mL, which was significantly less than that of the control group, there were statistically significant differences between the two groups(t=6.44, 6.85, all P 0.05). The postoperative catheterization time, bladder irrigation time and hospitalization time in the observation group were (5.26±1.38)d, (1.27±0.84)d and (6.34±1.25)d, respectively, which were significantly shorter than those in the control group, the differences were statistically significant(t=7.84, 7.16, 8.01, all P 0.05). The incidence rate of complications of the observation group was 2.56%, which was significantly lower than 5.13% of the control group(χ2=2.36, P>0.05). Conclusion The clinical efficacy and adverse reactions of transurethral PKRP combined with TULT in the treatment of BPH and bladder stones has significant effect, the utility model has the advantages of simple operation, small trauma, quick recovery and less complications, it can be used as the first choice for the treatment of elderly patients with BPH and bladder stones. Key words: Prostatic hyperplasia; Transurethral resection of prostate; Lithotripsy; Urinary bladder calculi