目的　探讨高龄前列腺摘除术围手术期的处理。方法　对 3 4例高龄前列腺增生患者行前列腺摘除术围手术期的处理进行回顾性研究 ,重点介绍术前的处理 (包括对多种合并症的治疗 )。结果　 3 4例患者经过围手术期处理均成功地进行了前列腺摘除术 ,无一例死亡。结论　高龄前列腺增生患者可以采取前列腺摘除术的治疗方法 ,但围手术期的处理十分重要。 Objective To investigate the perioperative management of elderly prostatectomy. Methods A retrospective study was conducted on the perioperative management of prostatectomy in 34 cases of elderly patients with benign prostatic hyperplasia. The focus was on the preoperative management (including the treatment of multiple comorbidities). Results All 34 patients underwent perioperative prostatectomy and none of them died. Conclusion In elderly patients with benign prostatic hyperplasia, prostatectomy may be used, but perioperative management is very important.