摘要
目的探讨应用2μm光在高龄（〉65岁）患者中行经尿道手术的安全性。方法选取2010年9月至2012年10月我科收治的老年患者共137例，中位年龄71（65-87）岁。其中男性114例，包括前列腺增生83例、膀胱癌31例；女性23例，全部为膀胱癌患者。本组中，合并内科疾病患者121例（88．3％），同一患者并存2种以上疾病者85例。待患者内科病情相对稳定后进行手术，总结手术时间、导尿管留置时间、闭孔神经反射例数、膀胱冲洗时间、前列腺增生患者排尿情况及围术期并发症发生率等指标。结果本组患者手术均一次成功，膀胱癌手术时间平均30（15-55）min，前列腺增生手术时间平均65（35～130）min，术后行膀胱冲洗，5～7d后拔除导尿管。术后出现内科并发症11例（8．03％），经治疗后顺利出院，无死亡病例。结论在老年患者中行经尿道2岬激光手术，疗效满意，创伤小，对于伴有内科疾病又必须进行手术治疗的老年患者具有较高的安全性。
Objective To investigate the safety of transurethral 2-micron laser used to prostatic surgery in advanced aged patients（ 〉 65 years）. Methods A total of 114 males and 23 females with a median age of 71 years （ranging from 65 to 87 years） receiving transurethral surgery in our department from September 2010 to October 2012 were enrolled in this study. There were 83 males with benign prostatic hyperplasia （BPH） and 31 with non-muscle bladder cancer（BCa）, and all 23 females suffered from BCa. There were 121 cases（88.3%） with c omorbidity, and 85 cases having over two diseases. Selective transurethral resection by 2-micron laser was performed after judging the function of important organs. Operation time, duration of indwelling urethral catheter, obturator nerve reflex, bladder washing, urination after BPH surgery, and peri-operative complications were analyzed. Results All operation procedures were successfully carried out. The mean operaton time was 30rain（ranging from 15 to 55min） for BCa and 65min（ranging from 35 to 130min） for BPH, respectively. Bladder washing was taken, and time for indwelling urethral catheter ranged from 5 to 7d. Post-operative complications occurred in 11 cases（8.03%）, and they were all discharged after corresponding treatment. There was no death in the cohort of patients. Conclusion Transurethral resection by 2-micron laser is an approach with satisfactory outcome and minimal invasion, and is of high safety for advanced aged who needs surgical treatment but suffers from eomorbidity.
出处
《中华老年多器官疾病杂志》
2013年第10期768-770,共3页
Chinese Journal of Multiple Organ Diseases in the Elderly
