经尿道前列腺电切术治疗合并冠脉支架的前列腺增生患者的临床经验  

Clinical experiences of summary of transurethral resection of prostate for begign prostatic hyperplasia with coronary stent

作　　者：赵佳晖[1] 姜永光[1] 侯铸[1] 彭涛[1] 王永兴[1] 罗勇[1] 李明川[1] 

机构地区：[1]首都医科大学附属北京安贞医院泌尿外科,北京100029

出　　处：《中华腔镜泌尿外科杂志（电子版）》2017年第2期26-29,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：北京市卫生系统高层次卫生技术人才学科带头人培养基金(2013-2-003)

摘　　要：目的总结既往行冠脉支架植入的前列腺增生患者行经尿道前列腺电切术(TURP)手术的临床资料和治疗经验。方法回顾性分析首都医科大学附属北京安贞医院2010至2015年间合并冠心病既往行冠状动脉支架植入的前列腺增生患者56例,年龄57~86岁,平均72岁。所有患者经充分术前准备,评估手术麻醉等风险,调整血压、改善心功能、停用抗凝药物,行TURP手术。结果所有患者均安全度过围手术期,手术均获成功,未发生心脑血管意外及严重并发症,无死亡病例。国际前列腺症状评分(IPSS)由术前(26±5)分降至术后(12±5)分,生活质量评分(QOL)由术前(5.1±0.8)分降至术后(1.9±1.1)分,差异具有统计学意义(P<0.01)。结论对于合并冠状动脉支架的前列腺增生患者,进行充分的术前准备及围手术期治疗,TURP手术是一个安全有效的手术治疗方法。Obiective To summarize the experiences oftransurethral resection of prostate（TURP） in the treatment of prostatic hyperplasia patients with coronary stent. Methods The clinical data of 56 BPH patients with coronary stent underwent TURP in our department between 2010 and 2015 were reviewed, aging from 57-86 years and 72 years in average. All patients were treated with TURP operation with fully perioperative preparation including assessment of the risk of surgical anesthesia, blood pressure, cardiac function improvement and suspending the anticoagulation. Results All of the operations were performed successfully without severe complications during the perioperative period. No cardiovascular and cerebrovascular complications and death occurred. The international prostate symptom scores （IPSS） reduced from （26±5） to （12±5）, and quality of life scores （QOL） reduced from （5.1±0.8） to （1.9±1.1） postoperatively. Conclusion With fully preoperative preparation, TURP is safe and effective for patients with BPH and coronary sent.

关 键 词：前列腺增生 冠脉支架 前列腺切除术 

分 类 号：R699.8[医药卫生—泌尿科学]