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我科自1986～1997年共手术治疗前列腺增生症(BPH)患者565例,其中年龄70岁以上,且至少合并心、肺、肝、肾功能不全、糖尿病、脑血管意外之一者的高危BPH患者108例。均进行了围手术期处理,报告如下。 1 资料与方法 1.1 临床资料:本组108例,年龄70～92岁,平均75.2岁。病程0.5～15年。以急性尿潴留住院者26例,住院前已做膀胱造瘘2例。直肠指检前列腺2度至3度增生,均有不同程度残余尿。部分病例尿流动力学测定提示流出道梗阻。108例中合并高血压58例(52％),冠心病及其它心血管疾病65例(60％),糖尿病28例(26％),慢性阻塞性肺气肿31例(29％),肾功能不全15例(14％),其中同一患者合
Our department from 1986 to 1997, total surgical treatment of benign prostatic hyperplasia (BPH) in 565 patients, including at least 70 years of age, and at least with heart, lung, liver and kidney dysfunction, diabetes, one of the high-risk BPH cerebrovascular accident 108 patients. All were perioperative treatment, the report is as follows. 1 Materials and Methods 1.1 Clinical data: The group of 108 patients, aged 70 to 92 years, mean 75.2 years. Course of disease 0.5 to 15 years. 26 cases were hospitalized with acute urinary retention, and 2 cases had cystostomy before hospitalization. Prostate referral Prostate 2 degrees to 3 degrees hyperplasia, have varying degrees of residual urine. Urodynamic analysis of some cases prompted outflow tract obstruction. Of the 108 patients, 58 (52%) had hypertension, 65 (60%) had coronary and other cardiovascular diseases, 28 (26%) had diabetes, 31 (29%) had chronic obstructive pulmonary emphysema, Incomplete 15 cases (14%), of which the same patient combined