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目的探讨超高龄患者前列腺增生经尿道前列腺电切术的临床价值。方法回顾性分析广州市中医医院外科130例超高龄前列腺增生患者的临床资料。结果所有患者耐受手术。手术时间平均80min,切除前列腺组织重平均约70g,失血量平均160m L,术后住院时间平均8d,无电切综合征发生。随访6~36个月,IPSS评分平均降至8.7分,QOL评分平均降至1.8分,最大尿流率平均增至10~20m L/s,残余尿量平均降至0~50m L。结论超高龄前列腺增生患者,做好围手术期处理,经尿道前列腺电切术是安全、有效的手术方式。是有极大临床价值的。
Objective To investigate the clinical value of transurethral resection of prostatic hyperplasia (BPH) in patients with ultra-advanced age. Methods The clinical data of 130 cases of super-benign prostatic hyperplasia in Guangzhou Traditional Chinese Medicine Hospital were retrospectively analyzed. Results All patients tolerated surgery. The average operation time was 80 minutes, the average weight of resected prostate tissue was about 70g, the average amount of blood loss was 160m L, the postoperative hospital stay was 8 days on average, and no power-cut syndrome occurred. The follow-up ranged from 6 months to 36 months. The IPSS score dropped to an average of 8.7 points, the QOL score dropped to an average of 1.8 points and the maximum uroflow rate increased to 10-20 m L / s on average. The residual urine volume dropped to 0-50 m L on average. Conclusion Ultra-high-age patients with benign prostatic hyperplasia, perioperative management, transurethral resection of the prostate is a safe and effective surgical approach. Is of great clinical value.