目的探讨高危高龄前列腺增生患者治疗的疗效和安全性。方法对117例高危高龄前列腺增生症患者行姑息性前列腺电切术,所有病例资料进行回顾性分析。结果姑息性前列腺电切术的总有效率为88.9%。随访3个月至77个月,大多取得良好的治疗效果,IPSS评分平均下降了14.3分,生活质量得到明显改善;在有尿流动力学数据的76例患者中,最大尿流率平均增加了9.9ml/s。结论姑息性前列腺电切术治疗高危高龄前列腺增生症是安全有效的。 Objective To investigate the efficacy and safety of treatment of high-risk patients with benign prostatic hyperplasia. Methods A total of 117 high-risk patients with benign prostatic hyperplasia were treated with palliative prostatectomy. All cases were retrospectively analyzed. Results The total effective rate of palliative prostatectomy was 88.9%. The follow-up ranged from 3 months to 77 months, and most of them achieved good therapeutic effect. The IPSS score decreased by an average of 14.3 points and the quality of life was significantly improved. Among the 76 patients with urodynamic data, the maximum urinary flow rate increased by an average of 9.9 ml / s. Conclusions Palliative prostatectomy is safe and effective in the treatment of high-risk BPH.