不插管静脉全身麻醉在经尿道前列腺蓝激光汽化术中的应用（“大家泌尿网”观看手术视频）

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ABSTRACT： ObjectiveTo investigate the safety and feasibilityof transurethral blue laser vaporizationof the prostate （BVP）under intravenous anesthesia without intubation.MethodsClinicaldata of 3O benign prostatic hyperplasia（BPH） （prostate volume <40mL ） patients undergoing BVP under intravenous anesthesia without intubation in our hospital during Jul. and Nov.2O24 were retrospectively analyzed.Preoperative andl-month postoperative international prostate symptom score （IPSS），qualityof life score（QoL），maximum urinary flowrate（Qmax），and postvoid residual volume（PVR）werecompared. The operationtime，cumulative blue laseractivation time，recovery time，postoperative bladder irigation time，postoperative catheter indweling time，postoperative 2-hour visual analogscale（VAS）scoreand incidence of surgical andanesthetic complications were recorded.ResultsAll 3O patients successullycompleted BVP under intravenous anesthesia without intubation.The operation time was 12.5±5.0⟩ ）min，cumulative laser activation time （9.8±4.1） ）min，recovery time （6.8± 1.2）min，postoperative bladder irrigation time （ ⋅11.0±4.6） h，postoperative catheter indwelling time （2.7±1.1） days and postoperative 2-hour VAS score was （3.0±1.3） .No cases required conversion to intubated general anesthesia，and no severe perioperative surgical oranesthetic complications occurrd.Significant improvements in IPSs，QoL，Qmax，and PVR were observed 1 month postoperatively （ P<0. 001 ）.ConclusionBVP under intravenous anesthesia without intubation in the treatment of prostate volume <40mL BPH is clinically feasible，significantly improving lower urinary tract symptoms without significant surgical or anesthetic complications.

KEY WORDS：intravenous anesthesia without intubation；blue laser vaporization of theprostate；benign prostat hyperplasia；enhanced recovery after surgery

摘要：目的探讨在不插管静脉全身麻醉下行经尿道前列腺蓝激光汽化术（BVP）的安全性与可行性。（剩余8325字）