Evrard P-L, Mongiat-Artus P, Desgrandchamps F
Service urologie, hôpital Saint-Louis, 1, avenue Claude-Velfaux, 75010 Paris, France.
Service urologie, hôpital Saint-Louis, 1, avenue Claude-Velfaux, 75010 Paris, France.
Prog Urol. 2017 Apr;27(5):312-318. doi: 10.1016/j.purol.2017.02.005. Epub 2017 Apr 1.
Monopolar transurethral resection of the prostate is one of standard surgical treatment of benign prostatic hyperplasia. The objective of this study was to evaluate early postoperative complications in patients aged 75 years old and more using a standardized classification.
We included all patients aged at least 75 on the day of surgery between 1 January 2008 and 31 December 2013. The reporting of complications was carried from the Clavien-Dindo classification.
One hundred and seventy-six patients were included in this study. A total of 47.2% of patients experienced at least one complication. The majority of patients (79.5%) had complications grade 1 or 2 according to Clavien-Dindo classification. One patient died postoperatively at day 27. Most complications were urological (55%). A high Charlson score and low plasma hemoglobin levels have been identified as a risk factor for complications.
Monopolar transurethral resection of the prostate is followed by significant morbidity in older patients, higher than in the general population.
经尿道前列腺单极切除术是良性前列腺增生的标准外科治疗方法之一。本研究的目的是使用标准化分类评估75岁及以上患者术后早期并发症。
我们纳入了2008年1月1日至2013年12月31日手术当天年龄至少75岁的所有患者。并发症报告采用Clavien-Dindo分类法。
本研究纳入了176例患者。共有47.2%的患者经历了至少一种并发症。根据Clavien-Dindo分类，大多数患者（79.5%）出现1级或2级并发症。一名患者在术后第27天死亡。大多数并发症为泌尿系统并发症（55%）。高Charlson评分和低血浆血红蛋白水平被确定为并发症的危险因素。
经尿道前列腺单极切除术后老年患者的发病率较高，高于一般人群。
4级。
