本文报告116例61岁以上的老年性前列腺增生症患者手术治疗情况,对手术方法及临床结果作了比较。其中经耻骨后手术组在术中出血、输血术和前后血红蛋白改变,手术时间和尿液转清及膀胱冲洗时间,术后并发症和死亡率等方面均比其他手术组优越。并对术前准备和手术时机的选择、手术方法的选择、主要并发症的预防和处理等方面进行了讨论。 This article reports 116 cases of elderly patients over the age of 61 benign prostatic hyperplasia surgical treatment, surgical methods and clinical outcomes were compared. Among them, bleeding after transanal surgery group, blood transfusion, hemoglobin change before and after surgery, operation time and urine clear and bladder irrigation time, postoperative complications and mortality were superior to other surgery groups. The preoperative preparation and timing of surgery, the selection of surgical methods, the prevention and treatment of major complications were discussed.