75岁以上高危前列腺增生症围手术期处理体会  

Perioperative Managment of the Senior and High Risk Benign Prostatic Hyperplasia(BPH) Patients Over 75 Years Old

作　　者：王乐浩 李星洪[1] 张克斌[1] 许哲[1] 李光昭[1] 

机构地区：[1]广东省汕头市第二人民医院泌尿外科,广东汕头515041

出　　处：《河北医学》2008年第4期464-466,共3页Hebei Medicine

摘　　要：目的:探讨高龄高危前列腺增生症(BPH)围手术期的治疗,以提高手术的安全性及成功率。方法:术前进行实际病情及手术危险性评估,治疗合并症,充分调整,采用耻骨上经膀胱前列腺切除术或经尿道前列腺电切术(TURP)进行手术治疗。结果:除1例TURP手术接近结束时出现TUR综合征,2例术后当天出血需再次手术止血,其余均安全度过围手术期,无死亡病例。术后平均随访12个月,排尿通畅。结论:高龄高危BPH患者只要严格掌握手术适应证,加强围手术期的处理,手术治疗是可行的。Objective： To evaluate the outcome and perioperative experience of the treatment of the senior and high risk BPH in order to increase success and security of the operation. Method： The patients were treated with suprapubic transvesical prostatectomy （SPP） or transurethral resection of prostate （TURP） after we evaluate the state of the illness and the risk of the operation and deal with the complications. Result： Transurethral resection syndrome （TURS） occured in one case, and two cases required secondary surgical treatment. The others survived the perioperative period safely and were cured by the operation. Conclusion： Knowing the surgical indications strictly and improving perioperative management is the key to success opera- tion.

关 键 词：前列腺增生 高龄高危 固手术期 前列腺切除术 

分 类 号：R699[医药卫生—泌尿科学]