刘西和

摘要：目的 分析保守疗法和同期微创手术治疗前列腺增生（BPH）合并输尿管结石（UC）的效果及对性功能的影响。方法 依照随机分组法将2018年12月-2021年01月本院纳入的86例前列腺增生合并输尿管结石患者分为两组，观察组和参照组分别实行同期微创手术治疗和保守治疗，对比治疗成效。结果 对比参照组，观察组的性功能改善情况更为明显;且观察组的并发症发生率（6.98%）低于参照组（23.26%）（P<0.05）。结论 在BPH合并UC患者的治疗中，同期微创手术治疗可以取得更为明显的治疗效果，能够改善患者的性功能、减少并发症，有利于患者恢复。

关键词：保守疗法;同期微创手术;前列腺增生合并输尿管结石

[Abstract]Objective To analyze the effect of conservative therapy and minimally invasive surgery in the treatment of benign prostatic hyperplasia（BPH）complicated with ureteral calculi（UC）and its influence on sexual function. Methods according to the random grouping method，86 patients with benign prostatic hyperplasia complicated with ureteral calculi from December 2018 to January 2021 in our hospital were divided into two groups，the observation group and the reference group were treated with minimally invasive surgery and conservative treatment at the same time，and the therapeutic effect was compared. Results compared with the control group，the improvement of sexual function in the observation group was more obvious;The incidence of complications in the observation group（6.98%）was lower than that in the reference group（23.26%）（P < 0.05）. Conclusion in the treatment of BPH patients with UC，minimally invasive surgery at the same time can achieve more obvious therapeutic effect，improve the sexual function of patients，reduce complications，and is conducive to the recovery of patients.

[Key words]conservative therapy;Minimally invasive surgery at the same time;Benign prostatic hyperplasia with ureteral calculi

前列腺疾病是临床常见的疾病，其多发于老年男性，尿道和膀胱在受到前列腺压迫后，排尿频率以及排尿难度会随之升高，很容易引发泌尿系统疾病，严重影响着患者的日常生活【1】。传统临床治疗中，一般都是对BHP合并UC患者实行开放性手术治疗，但是其手术损伤较为严重。输尿管结石在临床中主要以血尿、肾绞痛等为主要表现，如果不对患者进行及时治疗，则很有可能会引起梗阻以及肾积水【2】。最近几年，腔镜技术的迅猛发展，微创手术在临床中获得了非常广泛的应用，并且治疗效果明显。本文旨在分析保守疗法和同期微创手术治疗前列腺增生（BPH）合并输尿管结石（UC）的效果及对性功能的影响，见下文。

1 资料和方法

1.1.一般资料

依照随机分组法将2018年12月-2021年01月本院纳入的86例前列腺增生合并输尿管结石患者分为两组，各43例。参照组患者年龄区间为35-68岁，年龄均值为（58.37±1.44）岁，观察组患者年龄区间为36-69岁，年龄均值为（58.65±1.20）岁。……