摘要
目的探讨2μm激光前列腺切除术治疗高龄前列腺增生患者的围手术期处理。方法 2009年3月～2009年9月采用2μm激光治疗高龄前列腺增生患者31例,年龄为83～95岁,平均87.8岁。激光功率为70W。观察围手术期手术时间、术后拔除尿管时间和膀胱冲洗时间。比较术前、术后血红蛋白和电解质的变化。结果手术时间32～60min,平均45min;拔除尿管时间(2±1)d,膀胱冲洗时间为6h。围手术期未发现心、脑及肺等严重并发症。术前、术后血红蛋白和电解质的无明显变化。结论 2μm激光在治疗高龄前列腺增生患者的优势主要表现在围手术期安全、手术时间短,明显缩短了拔除尿管和膀胱冲洗时间,术后恢复快。
【Objective】We evaluated the Perioperative management of 2 micron continuous-wave laser vaporesection in treating senile patients with obstructive benign prostatic hyperplasia（BPH）.【Methods】In this prospective trial,31 senile patients with obstructive BPH treated using a 70w 2-micron continuous-wave laser were enrolled between Mar.2009 and Sep.2009.The mean（range） age of the patients was 87.8（83～95） years.Resection time,bladder irrigation time and catheter time were measured perioperatively and the following variables were assessed before and after vaporesection：bleeding volume and electrolyte changes.【Results】The mean resection time was 45（32-60） minutes.The time of bladder irrigation is 6 h.The mean catheter time was（2 ± 1） days.No severe cardiovascular,cerebral and pulmonary complications occurred during perioperative period.Before and after the patients with electrolyte disturbance and bleeding volume change was not observed（P〉0.05）.【Conclusions】2 micron continuous-wave laser of treatment senile patients with BPH has great advantages by safty of peroperative period decreasing resection time,bladder irrigation time and catheter time.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第9期974-976,共3页
China Journal of Endoscopy
关键词
前列腺增生
高龄
2ΜM激光
围手术期
benign prostatic hyperplasia
elderly
2-micron laser
perioperative period
