D'Addessi A, Perilli V, Ranieri R, Sollazzi L, Crea M A, Racioppi M, Alcini A, Alcini E
Department of Urology, Università Cattolica del Sacro Cuore (UCSC) School of Medicine, Rome, Italy.
Scand J Urol Nephrol. 1999 Jun;33(3):176-80. doi: 10.1080/003655999750015952.
To detect possible intraoperative haemodynamic differences, 60 patients undergoing transurethral (n = 18) or open prostatectomy (n = 42) for benign prostatic hyperplasia were evaluated. The same type of general anaesthesia was used in the two groups. Data, including temperature and cardiac output, were collected at five standard times during the procedures. No significant differences were found between the two groups. However, in all patients, irrespective of the operation, significant decreases in cardiac output and increases in systemic resistance occurred during surgery. Body temperature showed a mild, insignificant decrease, which may play a role in determining the mild haemodynamic derangement observed in all patients. Our patients subjected to open prostatectomy and transurethral resection presented the same kind of haemodynamic derangement, with no significant differences. Therefore it seems unlikely that the kind of surgery could play a relevant role in the late mortality rate of these patients.
为检测术中可能存在的血流动力学差异，对60例因良性前列腺增生接受经尿道前列腺切除术（n = 18）或开放性前列腺切除术（n = 42）的患者进行了评估。两组采用相同类型的全身麻醉。在手术过程中的五个标准时间点收集包括体温和心输出量在内的数据。两组之间未发现显著差异。然而，在所有患者中，无论进行何种手术，术中的心输出量均显著下降，全身阻力增加。体温出现轻微、无显著意义的下降，这可能在决定所有患者中观察到的轻微血流动力学紊乱方面发挥作用。接受开放性前列腺切除术和经尿道前列腺切除术的患者出现了相同类型的血流动力学紊乱，无显著差异。因此，手术方式似乎不太可能对这些患者的晚期死亡率产生相关影响。
