高危良性前列腺增生患者65例围手术期治疗

The perioperative treatment in 65 patients with high risk benign prostatic hyperplasia

目的:探讨经尿道前列腺电切术(TURP)治疗高危良性前列腺增生(BPH)的围手术期处理方法与经验。方法:回顾性分析65例行TURP的高危BPH患者的临床资料,比较手术前、后各项指标的差异。结果:65例患者均顺利耐受TURP并安全渡过围手术期,无死亡病例。术中未发生大出血及经尿道前列腺电切综合征,术后早期未出现肺部感染及肺栓塞等严重并发症。手术后12个月采用国际前列腺症状评分、生活质量评分、最大尿流率及残余尿量与手术前相比差异均具有统计学意义(P<0.05)。结论:术前针对不同BPH患者的高危因素进行个体化治疗,术中严密监测、规范操作、彻底止血以及术后完善细致的治疗是保证手术成功的关键。

Objective：To investigate the perioperative treatment method and experience in high risk benign prostatic hyperplasia （BPH） patients treated with transurethral resection of prostate（TURP）. Methods：The clinical data of 65 high-risk BPH patients treated with TURP were retrospectively analyzed. The differences of the indicators in all cases between before and after operation were compared. Results：Sixty-five patients successfully withstood the TURP,and security through the perioperative period. The death case, perioperative massive hemorrhage,transurethral resection syndrome,pulmonary infection and pulmonary embolism were not found. The differences of the International prostate symptom score,QOL,Qmax and residual urine volume between before operation and after 12 months of operation were statistically significant（P 〈0. 05）. Conclusions：Individualized treatment,strict monitoring,standardize operation,thorough hemostasis and postoperatively comprehensive treatment are all important to ensure the success of operation.