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目的:探讨合并糖尿病的老年性前列腺增生症围手术期处理。方法:对16例合并糖尿病的老年性前列腺增生症病人手术前后诊断治疗进行回顾性分析。结果:老年性前列腺增生症合并糖尿病以Ⅱ型多见。术前漏诊糖尿病1例,术后并发症8例次,切口感染2例,肺部感染1例,尿路感染2例,膀胱造瘘口脓肿和耻骨后脓肿各1例,尿失禁1例。结论:高血糖是术后高并发症发生率的主要原因,严格控制血糖水平,合理使用胰岛素,选择合理术式是该类病人安全渡过围手术期的关键。
Objective: To investigate the perioperative management of senile benign prostatic hyperplasia with diabetes. Methods: A retrospective analysis of 16 cases of senile benign prostatic hyperplasia patients with diabetes before and after the diagnosis and treatment. Results: Senile benign prostatic hyperplasia with type Ⅱ diabetes more common. 1 case of missed diagnosis of diabetes, 8 cases of postoperative complications, 2 cases of incision infection, 1 case of lung infection, 2 cases of urinary tract infection, 1 case of bladder ostomy abscess and 1 case of puborectal abscess and 1 case of urinary incontinence. Conclusion: Hyperglycemia is the main reason for postoperative morbidity. Strict control of blood glucose level and rational use of insulin are the keys to safely perioperative patients.