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[目的]探讨前列腺增生症(BPH)合并多种基础疾病的围手术期的治疗方法。[方法]术前对100例患者进行实际病情及手术危险性评估,积极治疗合并症。然后,对其采用耻骨上经膀胱前列腺切除术或经尿道前列腺电切术(TURP)进行手术治疗。[结果]除2例术后需用硝酸甘油调控血压,1例术后上呼吸机辅助通气外,其余的均能按术前口服的降压药方案给药,吸氧,化痰抗感染安全度过围手术期,无心脑血管意外,无死亡病例。术后平均随访6个月,排尿通畅,血压降至安全范围,心电图复查好转。[结论]BPH合并多种基础疾病患者只要严格掌握手术适应证,术前充分用药调理,加强围手术期的处理,手术治疗是可行的。
[Objective] To investigate the perioperative treatment of benign prostatic hyperplasia (BPH) complicated with various underlying diseases. [Methods] 100 cases of patients before surgery to assess the actual condition and surgical risk, aggressive treatment of comorbidities. Then, they were treated surgically with suprapubic transvesical prostatectomy or transurethral resection of the prostate (TURP). [Results] Except for the two cases requiring nitroglycerin to regulate blood pressure and one case of ventilator assisted ventilation after operation, all the other patients were given oral antihypertensive drugs before surgery, and the anti-infection of oxygen and phlegm was safe Perioperative perioperative, no cardiovascular accident, no deaths. Postoperative average follow-up of 6 months, voiding patency, blood pressure dropped to safety range, electrocardiogram review improved. [Conclusion] As long as patients with BPH complicated with various basic diseases strictly grasp the indications for surgery, preoperative medication and conditioning, to strengthen the perioperative management, surgical treatment is feasible.