Sinha B, Haikel G, Lange P H, Moon T D, Narayan P
J Urol. 1986 Apr;135(4):719-21. doi: 10.1016/s0022-5347(17)45829-0.
We performed transurethral resections of the prostate in 100 patients under local anesthesia supplemented when appropriate by intravenous medication. In the first part of the study (40 patients) local anesthesia was infiltrated into the prostate transurethrally only, while in the second part (60 patients) infiltration was performed transurethrally and perineally. Prostate sizes ranged from 5 to 50 gm., and pain control was excellent in the majority of the patients, especially when perineal infiltration was added to the procedure. Of the patients 98 per cent said they would do it again, no patient required conversion to general anesthesia and there were no significant complications relating to the anesthesia. Local anesthesia with intravenous supplementation can be performed successfully in the majority of the patients with small to moderately sized prostate glands.
我们对100例患者进行了局部麻醉下的经尿道前列腺切除术，必要时辅以静脉用药。在研究的第一部分（40例患者），仅经尿道将局部麻醉药注入前列腺，而在第二部分（60例患者），经尿道和会阴进行浸润麻醉。前列腺大小为5至50克，大多数患者的疼痛控制良好，尤其是在手术中增加会阴浸润麻醉时。98%的患者表示愿意再次接受该手术，没有患者需要转为全身麻醉，也没有与麻醉相关的严重并发症。对于大多数前列腺大小为小至中等的患者，局部麻醉辅以静脉用药能够成功实施。
