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经尿道切除术(TUR),有许多优点,如手术时问短、对病人刺激小和出血少等。这种手术在国外已广泛应用,据北里大学医院泌尿科统计,TUR约占该科手术的36％。近年来该手术在国内应用也日益增多,鉴于其麻醉管理具有一定特点,故将有关问题综述如下: 一、术前情况 1.适应症:经尿道切除术主要应用于①前列腺肥大及前列腺癌的前列腺切除;②膀胱肿瘤切除;③膀胱内病变的活检;④膀胱颈部硬化症的膀胱颈部切开、切除等。 2.病情估计:患前列腺肥大及膀胱肿瘤多系高龄患者。播岡报告的192例病人中,60岁以上者占
Transurethral resection (TUR) has many advantages, such as short operation time, less irritation to the patient and less bleeding. This operation has been widely used abroad, according to the North University Hospital Urology statistics, TUR accounted for 36% of the section surgery. In recent years, the operation is also increasing in the domestic application, in view of its anesthesia management has certain characteristics, it will be the relevant issues are summarized as follows: First, the preoperative situation 1. Indications: transurethral resection is mainly used in ① benign prostatic hyperplasia and prostate cancer Prostatectomy; ② bladder tumor resection; ③ bladder biopsy; ④ bladder neck sclerosis bladder neck incision, resection and so on. 2. Condition estimation: suffering from prostate hypertrophy and bladder cancer more than the Department of elderly patients. Of the 192 patients reported by Sengoku, those over 60 accounted for