高龄高危前列腺增生患者的TURP手术治疗

目的：探讨高龄高危良性前列腺增生患者的TURP手术治疗的有效性和安全性。方法：回顾性分析本院泌尿外科采用TURP手术治疗的高龄高危的BPH患者56例。结果：患者平均手术时间（65．0±5．0）min，平均失血（135．0±15．0）mL，无经尿道电切综合征（TURS）等严重并发症发生，术后6月国际前列腺症状评分（IPSS）（9．5±2．8）分，生活质量评分（QOL）（2．3±0．3）分，尿流率Qmax（16．3±3．6）mL／s，超声检测剩余尿量PVR（20—50）mL，平均（30．0±4．5）mL，与术前相比较各项指标差异均有统计学意义（P〈0．05）。结论：对于高龄高危BPH患者用TURP手术治疗是安全和有效的。

Transurethral resection of the prostate in high-risk elderly patients with benign prostatic hyperplasia

Objective： To explore the efficacy and safty of use of transurethral resection of the prostate （TURP） in high risk elderly patients with benign prostatic hyperplasia （BPH）. Methods： Fifty-six BPH patients in our department were reviewed. Results： The mean operation time was 65 ± 5.0min and mean blood loss was 135 ± 15.0 mL. No severe complications such as transurethral resection syndrome （TURS） were observed. Significant difference was found between the pre-operative and 6 months in post-operative international prostate symptom score （IPSS） （ 9.5 ± 2.8 ）, quality of life （QOL） （ 2.3 ± 0.3 ）, maximum flow rate （Qmax） （ 16.3 ± 3.6 ） mL/s and postvoid residual urine （ PVR ） （ 20 - 50 ） mL 6 months after operation, international prostate symptom score （IPSS） （9.5 ± 2.8 ）, quality of life （QOL） （2.3 ± 0.3 ）, maximum urinary flow rate （Qmax） （ 16.3 ± 3.6） mL/s and post-void residual urine volume （PVR） （20 - 50） mL were all statistically different from the pre-operative values （ P 〈 0. 05 ）. Conclusion ： TURP can be a safe and effective treatment in high risk elderly patients with BPH.