简介：　　【摘要】 目的：研究与分析前列腺增生合并膀胱结石同期手术治疗方式及疗效。方法：回顾性分析 2017年 1月 -2019年 9月本院收治的 54例前列腺增生合并膀胱结石患者的临床资料，根据患者结石情况采取不同方式膀胱碎石（或取石）合并前列腺等离子电切术治疗。观察对比患者治疗前及术后 3个月 IPSS评分、 QOL评分、 Qmax以及效果。结果： 54例患者均一次性成功完成手术，术中平均出血量（ 85.8±59.1） mL、平均住院时间（ 13.5±3.5） d，未发生大出血及膀胱损伤。术后随访 3个月，未发现真性尿失禁，无严重血尿，但出现 2例感染， 1例狭窄。患者术后 3个月的 IPSS评分、 QOL评分、平均 Qmax较术前均明显改善，差异均有统计学意义（ t=17.3、 30.1、 28.4， P=0.00、 0.00、 0.00）。结论：前列腺合并膀胱结石同期手术治疗的效果非常显著，具有安全性高、并发症少等优势，且患者治疗后远期效果良好，值得临床应用推广。  　　【关键词】 前列腺增生； 膀胱结石； 同期手术  　 [Abstract] Objective: To study and analyze the surgical treatment of BPH with bladder stones. Methods: the clinical data of 54 patients with BPH and bladder stone admitted to our hospital from January 2017 to September 2019 were analyzed retrospectively. According to the stone condition of the patients, different methods of bladder stone (or stone extraction) and prostate plasma electrotomy were used. The IPSS score, QOL score, Qmax and effect were compared before and 3 months after treatment. Results: all the 54 patients successfully completed the operation at one time. The average amount of bleeding was (85.8 ± 59.1) ml, and the average length of stay was (13.5 ± 3.5) days. After 3 months of follow-up, no real urinary incontinence and no serious hematuria were found, but 2 cases of infection and 1 case of stenosis occurred. The IPSS score, QOL score and mean Qmax of the patients at 3 months after operation were significantly improved compared with those before operation, and the differences were statistically significant (t = 17.3, 30.1, 28.4, P = 0.00, 0.00, 0.00). Conclusion: the results of simultaneous operation of prostate and bladder calculi are very significant, with advantages of high safety and few complications, and the long-term effect of patients after treatment is good, which is worthy of clinical application and promotion.