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目的探讨高龄高危前列腺增生(BPH)经尿道前列腺电切(TURP)的安全性及围术期的处理。方法本研究选择30例患者,年龄70～93岁,平均75岁。病史均为进行性排尿困难,平均7.2(2～18)年;术前IPSS 22～34分,平均(26.6±1.8)分;生活质量评分(QOL)5～6分,平均(5.2±0.4)分;最大尿流率0～8 ml/s,平均(6.5±2.2)ml/s。本组患者前列腺质量50～120 g,平均75 g。结果 30例TURP患者手术时间45～115 min,平均60 min;切除腺体质量32～78 g,平均45 g。术中出血50～400 ml,平均100 ml。有4例患者术后输血200～400 ml,术中顺利,无电切综合征等并发症发生。结论经尿道前列腺电切是治疗高龄高危前列腺增生有效、安全性高且并发症少的方法。
Objective To investigate the safety and perioperative management of transurethral resection of prostate (TURP) in elderly high-risk patients with benign prostatic hyperplasia (BPH). Methods This study selected 30 patients, aged 70 to 93 years, mean 75 years. The patients had a history of dysuria with an average of 7.2 (2-18) years. Preoperative IPSS was 22 to 34 (average 26.6 ± 1.8) and quality of life (QOL) was 5 to 6, with an average of 5.2 ± 0.4. Min; maximum flow rate of 0 ~ 8 ml / s, average (6.5 ± 2.2) ml / s. Prostate mass in this group of patients 50 ~ 120 g, an average of 75 g. Results The operation time of 30 patients with TURP was 45 to 115 minutes (mean, 60 min). The mass of the resected gland was 32 to 78 g (mean, 45 g). Intraoperative bleeding 50 ~ 400 ml, an average of 100 ml. In 4 cases, postoperative blood transfusion was 200-400 ml, and the operation was successful and complications such as no-cut-off syndrome occurred. Conclusion Transurethral resection of the prostate is an effective and safe method for the treatment of benign prostatic hyperplasia in elderly patients with less complications.