高龄BPH患者经尿道手术治疗安全性及有效性探讨  

Reliability of transurethral surgery for senility patients with benign prostate hyperplasia

作　　者：何乐业[1] 岳栋[1] 张一川[1] 龙智[1] 钟狂飚[1] 蒋先镇[1] 

机构地区：[1]中南大学湘雅三医院泌尿外科,长沙410013

出　　处：《中国男科学杂志》2010年第4期43-45,49,共4页Chinese Journal of Andrology

基　　金：湖南省自然科学基金资助(项目编号:03JJY4016)

摘　　要：目的探讨80岁以上高龄前列腺增生症患者经尿道手术的安全性及有效性。方法回顾性分析1999年12月至2009年10月间采用经尿道手术治疗高龄前列腺增生症患者的临床资料。结果 63例80岁以上患者均顺利完成经尿道手术,术中患者生命体征平稳。平均手术时间53min,切除前列腺组织平均51g,术中5例输血300ml,3例术中发生轻度电切综合征,均安全地度过围手术期。其中的53例患者随访1～62月,IPSS评分较术前平均下降17.5分,QOL平均下降3.6分,Q_(max)平均增加9.2ml/s,残余尿量平均下降75.3ml。结论高龄BPH患者,只要加强围手术期的处理,经尿道手术仍是一种安全可行、出血少、并发症少、恢复快、疗效明显的一种治疗选择。Objective To investigate the efficacy and safety of transurethral resection surgery for more than 80 years old patients with benign prostate hyperplasia （BPH）. Methods The clinical data of 63 patients, who received transurethral operation from Dec. 1999 to Oct. 2009, were retrospectively analyzed. Results All the operations were successful without serious complications. The average operating time was 53 min and the average weight of resected prostate tissue was 5 lg. Five patients of them received 300ml blood supply during operation. Three cases with mild TUR syndrome were encountered during operation. 53 cases of the patients were followed up from lmonth to 62 months. Compared with that before operation, IPSS score dreased by 17.5 points, QOL decreased by 3.6 points, Qmax increased by 9.2ml/s and residual urine volume decreased by 75.3ml. Conclusion Transurethral resection surgery was still safe and feasible, less bleeding, fewer complications, good efficiency and rapid recovery for treatment of elderly patients with BPH under better perioperative management.

关 键 词：老年人 80以上 前列腺增生 经尿道前列腺切除术 安全性 有效性 

分 类 号：R697.32[医药卫生—泌尿科学]