摘要
目的总结笔者在经尿道双极等离子前列腺电切术的麻醉管理经验。方法 2005年1月~2009年8月采用腰-硬联合麻醉行经尿道双极等离子前列腺电切术535例,对其临床资料进行回顾性分析。年龄59~88岁,平均69岁。于L2~3或L3~4作蛛网膜下腔穿刺,留置硬膜外导管。结果麻醉时间60～150 min,平均80 min。灌洗液用量为6～27 L,平均16 L。无术后头痛、硬膜外穿刺穿破硬脊膜等麻醉相关并发症。患者均能耐受麻醉和手术操作。所有患者未发生前列腺电切综合征,输血8例,术后50例发生膀胱痉挛。结论只要术前准备充分,术中严密监测管理,在腰-硬联合麻醉下行经尿道双极等离子前列腺电切术是比较安全的。
【Objective】 To summarize the experience with combined spinal-epidural anesthesia in patients undergoing transurethral plasmakinetic resection of prostate（PKRP）.【Method】 We retrospectively reviewed the records of 535 patients who underwent PKRP under combined spinal-epidural anesthesia in our hospital for treatment of benign prostate hyperplasia between January 2005 and August 2009.Mean patient age was 69 years（range 59 to 88 years）.An epidural catheter was placed after spinal anesthesia was performed at either L2~3 or L3~4.The same anesthesia protocol was used in all patients.【Result】 Mean duration of the anaesthesia was 80 min（range 60 to 150 min）.Mean volume of irrigation fluid was 16L（range 6 to 27 L）.No major anaesthesia-related complications occurred.All the procedures were well tolerated.Eight patients required transfusion.No transurethral resection syndrom occurred was observed.Bladder spasm happened in fifty cases.【Conclusion】 With intensive preoperative preparation and meticulous intraoperative care,PKRP for ablation of benign prostate hyperplasia under combined spinal-epidural anesthesia can be performed safely.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第19期2322-2324,共3页
China Journal of Modern Medicine
关键词
良性前列腺增生症
等离子前列腺电切术
麻醉
benign prostate hyperplasia
transurethral plasmakinetic resection of prostate
anesthesia
