64例高危高龄BPH患者行TURP术治疗的疗效观察

Therapeutic Efficacy of Transurethral Resection of Prostate in Treatment of 64 Cases of High Risk and Aged Benign Prostatic Hyperplasia

目的探讨经尿道前列腺电切术（TURP）治疗高危高龄前列腺增生症（BPH）患者的疗效和手术安全性。方法对64例高危高龄前列腺增生患者采用TURP治疗，围手术期采用个体化处理。结果本组64例均安全实施TURP，术后随访1～12个月，患者排尿通畅，残余尿量平均由84ml降至20ml，最大尿流率（Qmax）平均由6．3ml／min提高至15ml／min，国际前列腺症状评分（IPSS）平均由29．2分降至7分，生活质量评分（QOL）平均由5．6分降至2分。结论TURP是治疗高危、高龄BPH患者安全、有效的方法。采用个体化治疗方案，做好充分术前准备、积极控制并发症、术中掌握手术技巧、重视术后处理等是保证手术安全成功的关键。

Objective To assess the curative effect and safety of transurethral resection of prostate（TURP） in the treatment of benign prostatic hyperplasia（BPH） in high risk and aged patients. Methods TURP was performed in 64 high risk and aged patients with BPH. The patients received individualization treatment during perioperative period. Results All the 64 patients were performed safely and follow up for 1 to 12 months. All the patients had fluent urination. Residual urine volume decreased from 84 ml to 20 ml. Maximal flow rate（Qmax） increased from 6.3 ml/min to 15 ml/min. The International Prostate Symptom Scores（IPSS） were decreased from 29.2 to 7. Quality of life（QOL） score decreased from 5.6 to 2. Conclusion TURP is safe and effective treatment for BPH patients of high risk and advanced age. The individual treatment, sufficient preoperative prepara- tion, positively controlling complications, skilled operation and paying attention to the treatment after operation are the keys to the Success.