被膜下前立腺摘除術の出血量に影響を及ぼす因子 : 患者側および医師側因子についての推計学的検討

概要

論文の詳細を見る
In this paper, we report 250 unucleations for benign prostatic hyperplasia during 10 years from 1967 to 1976. Retropubic and suprapubic method were performed. In this series of 250 prostatectomies, 100 cases were operated on under general anethesia (GOF-method), 100 cases under spinal anethesia and 50 cases under epidural anethesia. Cases operated under spinal or epidural anethesia presented a considerably remarkable of the blood loss level as compared those under general anesthesia. 1) The average blood loss levels were as follows; 303.8 g in the spinal group, 310.6 g in the epidural and 568.1 g in the general. When the two-way classification analysis of variance was used, a significant reduction of the blood loss level was observed between the spinal and the general group (p<0.05) and also between the general group(p<0,05). No significant reduction was observed between the spinal and the epidural groups. 2) As to the blood transfusion level in each group during and after the operation, result similar to those of the blood loss level were obtained. Namely the reduction of the blood transfusion level was observed in both the spinal and the epidural groups. 3) No significant differences were observed between the two operation methods as to the blood loss and the transfused blood volume. 4) Regarding the behaviors of the lowest systoric blood pressure during the course of the operation under spinal or epidural anethesia, significant reduction was observed as compared with those under general anesthesia (p<0.05). accordingly it is considered that the reduction of the blood loss level was contributed by the reduction of the lowest blood pressure. 5) Operaing time under spinal or epidural anesthiesia was significantly shorter than that under general anesthesia (p<0.05). 6) Correlation was observed among the following factors regardless of anesthiesia methods adopted: the blood loss level and weight of the encleated prostate gland; the blood loss level and the operating time. 7) The following matters had no influence on hemorrhage in cases prostatectomized under spinal or epidural anesthesia; preoperative blood pressure, preoperated hemoglobin, bleeding time, coagulation time and count of platelet. On the other hand, a significant correlation was observed between the blood loss level and the bleeding time in cases of general antsthesia. 8) Hospital stay and catheter days did not correlate with blood loss level regardless of the adopted anesthetic method. 9) No operative mortality was observed when prostatic enucleation was performed under spinal or epidural anesthesia, but two operative mortalities were observed under general anesthesia. In this study, both spinal and epidural anesthesia seem to have advantages for prostatic surgery.
社団法人日本泌尿器科学会の論文
1978-10-20

被膜下前立腺摘除術の出血量に影響を及ぼす因子 : 患者側および医師側因子についての推計学的検討

スポンサーリンク

概要

著者

関連論文

スポンサーリンク