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目的探讨80岁以上高龄前列腺增生症患者经尿道手术的安全性及有效性。方法回顾性分析1999年12月至2009年10月间采用经尿道手术治疗高龄前列腺增生症患者的临床资料。结果 63例80岁以上患者均顺利完成经尿道手术,术中患者生命体征平稳。平均手术时间53min,切除前列腺组织平均51g,术中5例输血300ml,3例术中发生轻度电切综合征,均安全地度过围手术期。其中的53例患者随访1～62月,IPSS评分较术前平均下降17.5分,QOL平均下降3.6分,Q_(max)平均增加9.2ml/s,残余尿量平均下降75.3ml。结论高龄BPH患者,只要加强围手术期的处理,经尿道手术仍是一种安全可行、出血少、并发症少、恢复快、疗效明显的一种治疗选择。
Objective To investigate the safety and efficacy of transurethral surgery in patients over 80 years of age with benign prostatic hyperplasia. Methods The clinical data of transurethral resection of benign prostatic hyperplasia (BPH) between December 1999 and October 2009 were retrospectively analyzed. Results 63 patients over 80 years of age were successfully completed transurethral surgery, intraoperative vital signs stable. The average operation time was 53 minutes. The average removal of prostate tissue was 51g. Five blood transfusions occurred in 300ml during surgery. Three patients had mild tangential syndrome during operation, all of which were perioperatively safe. Fifty-three patients were followed up for 1-62 months. The IPSS score was 17.5 points lower than the preoperative average, QOL decreased by 3.6 points on average, Q max increased by 9.2 ml / s and the residual urine volume decreased by 75.3 ml on average. Conclusion In elderly patients with BPH, transurethral surgery is still a safe and feasible treatment option with less complications, quick recovery and obvious curative effect as long as perioperative management is strengthened.