【摘要】 目的 探讨手术治疗高危前列腺增生症(BPH)的疗效和安全性。 方法 术前进行实际病情及手术危险性评估，并于围手术期充分调整，采用耻骨上经膀胱前列腺摘除术、经尿道前列腺电切术(TURP)、经尿道前列腺电气化术(TU-VP)进行治疗。 结果 1例死于心脏病，余患者均安全度过围手术期。随访3～48个月，121例排尿功能恢复良好，与术前比较国际前列腺症状评分平均下降17.2分;生活质量评分下降2.3分，最大尿流率增加11.2ml/s，剩余尿量下降68.6ml。3例因膀胱逼尿肌功能受损而行永久性膀胱造瘘术，9例出现尿道狭窄，经尿道扩张后好转。 结论 高危前列腺增生患者，只要加强围手术期的处理，手术治疗是可行的，但是一定要加强合并疾病的治疗。TURP及TUVP出血少，安全、疗效显著，值得临床推广。

    关键词 前列腺增生 高危 前列腺摘除术

    Treatment experience of BPH patients at high surgical risk

    Wang Bin

    Department of Urology，Jianghan Oil Field Center Hospital，Qianjiang433124.

    【Abstract】 Objective To investigate the efficacy and safety of surgical treatment for BPH at high risk.Meth-ods The clinical condition and surgical risks of132BPH patients were preoperatively evaluated and properly adjusted during preoperative period.45BPH patients were treated with prostatectomy，and87cases were treated with transurethral resection of prostate(TURP)and transurethral electrovaporization of prostate(TUVP).Results 1case died of cardiac ......