年齢層別にみた経尿道的前立腺切除術の術前後合併症

Transurethral resection of the prostate:A study of the comparison between young patients and old patients

　三井記念病院において経尿道的前立腺切除術を施行した338例の症例に対し，年齢層別に術前合併症，術前後の変化について，臨床的検討を加えた。術前検査において，高齢者では有意に血中ヘモグロビン，アルブミン濃度，ヘマトクリット値が低下しており，予備能力の低さを意味していた。しかし，術前後のヘモグロビン，ナトリウム濃度の変化に有意な差はなく，高齢者だからといって，過度に手術を危惧する必要はないと考えられた。

　In our clinic 338 patients who had undergone transurethral resection of the prostate（TUR-P）for the treatment of benign prostatic hyperplasia（BPH）between 1995 and 2000 were retrospectively reviewed,focusing on the safety and complications. 32（9.5％）patients were in their fifties,171（50.6％）patients in their sixties,111（32.8％）patients in their seventies and 24（7.1％）patients were in their eighties. Patients in their seventies and eighties had a significantly lower preoperative hemoglobin and albumin concentration than patients in their fifties and sixties. But the decreased rate of hemoglobin concentraion between preoperation and postoperation was not significantly different between them. Moreover,the recovery of hemoglobin concentration between postoperative day 0 and postoperative day 1 was not significantly different either. This indicated that older patients with lower hemoglobin concentration were capable of good recovery after the operation. In conclusion,even patients in their eighties can safely receive TUR-P.