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我院近1年多来,使用STORI器械行经尿道电切前列腺(TURP)术102例,记录完整的55例中,除20例采用硬膜外、腰麻或骶管麻醉外,余35例采用局麻加闭孔神经封闭,麻醉效果满意,现报道如下。一、临床资料35例平均年龄在65岁以上,最大为82岁。均有排尿不畅,夜尿4～6次。部分病例排尿困难需插导尿管引流尿液。大多数病人心肺功能都有一些问题,如心肌损害及肺功能低下等,少数病人血BUN增高。均经B型超声探查前列腺大小,残余尿量测定、尿流率检查,直肠指诊以及必要时膀胱镜检查而确诊。手术时间、留置导尿时间,输血量以及平均住院天数,TURP均较同期开放手术者为优。
Nearly a year in our hospital, the use of STORI apparatus transurethral resection of the prostate (TURP) surgery in 102 cases, a complete record of 55 cases, with the exception of 20 cases of epidural, spinal anesthesia or caudal, the remaining 35 cases Local anesthesia obturator nerve closure, satisfactory anesthesia, are reported below. First, the clinical data 35 cases of the average age of 65 years of age, the maximum is 82 years old. Have poor urination, nocturia 4 to 6 times. In some cases dysuria need catheterization catheter drainage of urine. Most patients have some problems of cardiopulmonary function, such as myocardial damage and pulmonary dysfunction, a small number of patients with elevated blood BUN. Are confirmed by B-mode ultrasound prostate size, residual urine volume, urine flow rate examination, digital rectal examination and, if necessary, cystoscopy. Surgery time, indwelling catheterization time, blood transfusion and average hospitalization days, TURP were better than the same period open surgery.