安置心脏永久性起搏器患者的经尿道前列腺电切治疗

Transurethral Resection of the Prostate for Patients with the Permanent Cardiac Pacemaker

目的:探讨已经留置心脏永久性起搏器患者的经尿道前列腺电切(TURP)治疗.方法:回顾性总结1997年1月～2004年9月8例留置心脏永久性起搏器患者的TURP治疗,患者年龄62～71岁,已安置永久性心脏起搏器2～7年,其中病态窦房结综合征5例、Ⅲ度房室传导阻滞2例、三束支传导阻滞1例,起搏器类型为房室全能型(DDD)4例、心房按需型(AAI)3例、心室按需型(VVI)1例.结果:患者手术过程顺利,术中生命体征平稳,术后恢复良好.结论:留置永久性心脏起搏器并非TUBP的绝对禁忌证,此类患者经过充分准备可以承受手术治疗.

Objective: To evaluate the transurethral resection of the prostate(TURP) for patients with the permanent cardiac pacemaker.Methods: A retrospective study was made on TURP for 8 patients aged from 62 to 71 and equipped with the cardiac pacemaker for 2 to 7 years, because of sick sinus syndrome (5 cases), complete atrioventricular block (2 cases), and three-cord block (1 case). The pacemarkers varied accordingly, Type DDD in 4, Type AAI in 3 and Type VVI in 1 of the patients. Results: All the operations were successful, and all the patients experienced satisfactory recovery.Conclusion: Patients with the permanent cardiac pacemaker can receive TURP.