前列腺切除术后并发症在高龄高危患者中的预防与治疗

The prevention and treatment of complications after prostatectomy in aged patients

目的:探讨高龄高危患者前列腺切除术后并发症的种类与防治方法。方法:回顾性分析40例接受前列腺切除术的高龄高危患者的临床资料特点,对血尿、膀胱过度活动、尿失禁、膀胱颈狭窄、下尿路感染、附睾炎、排尿困难、尿频、逆向射精、下肢静脉血栓、肺部感染、水电解质紊乱、心功能不全等术后并发症进行统计与分析。评估严格执行术前准备,术前风险评估,术中彻底止血、术后严密观察,及时合理的用药对并发症产生的影响。结果:采用上述方法治疗的40例高龄患者,均安全度过围手术期。结论:前列腺切除术后并发症在高龄高危患者中是可以预防和治疗的。

Objective:To investigate the types and prevention of postoperative complications in elderly patients subject to prostatectomy.Methods:The clinical data of 40 elderly patients undergoing prostatectomy were retrospectively analyzed.The types of postoperative complications including hematuria,overactive bladder,urinary incontinence,bladder neck stricture,urinary tract infection,epididymitis,dysuria,frequent micturition,retrograde ejaculation,lower limb venous thrombosis,lung infection,water electrolyte disorder,and cardiac function were analyzed.The effects of preoperative preparation,preoperative risk assessment,intraoperative hemostasis,postoperative close observation,and rational drug use on complications were evaluated.Results:All patients safely underwent the perioperative period.Conclusions:Complications after prostatectomy in elder patients can be prevented and treated.