80岁以上高危前列腺增生症患者的经尿道前列腺切除术治疗

目的总结经尿道前列腺电切术(TURP)治疗80岁以上高危前列腺增生症(BPH)患者的经验。方法回顾性分析TURP治疗的152例80岁以上高危BPH患者的临床资料。结果152例患者手术39～75min,平均53min。电切前列腺组织42～95g,平均67g;术中失血60～250mL,平均105mL。术中发生经尿道电切综合征(TURS)早期表现17例,经对症处理后好转;未发生术中大出血。全部病例术后均排尿通畅,IPSS由术前30.0降到7.5,Qmax>15mL/s。随访3个月～12a,未见前列腺再次增生梗阻,仅1例发生永久性尿失禁。全组患者术后均未有心、脑、肝、肾等系统疾患加重。结论只要术前积极控制并发症,技术娴熟,TURP术仍然是当今治疗80岁以上高危BPH的主要方法。

Therapeutic value of transurethral resection of prostate for senior and high risk benign prostatic hyperplasia patients

[Objective] To evaluate the value of transurethral resection of prostate (TURP) on senior and high risk benign prostatic hyperplasia (BPH). [Methods] TURP was used to treat 152 cases of senior and high risk BPH. [Results] Mean weight of resected tissue was 67 g, and operative time was 53 minutes. Postoperative maximum urinary flow rate was significantly increased, while international prostatic symptom score (IPSS) was significantly decreased. [Conclusions] TURP can applied to high risk BPH senior to 80 old years with safety and satisfied efficacy.