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日本作为世界长寿国之一,老年人的医疗问题近年来正在增多,泌尿外科手术也不例外,麻醉方法及术前后处理虽然已有很大进展,但不可否认仍有危险性。一、发病率和手术种类 1986至1988年3年间作者手术556例,年龄构成为,60岁年龄组140例(25％),70岁年龄组133例(24％),80岁年龄组18例(3.2％)。老年的判定尚无明确标准,曾经以65岁以上为标准,最近又以75岁以上为准,特别是80岁以上可称为老年手术。泌尿科手术80岁上的病例,多数报告是3.4％,作者报告亦相同。手术病种以前列腺增生症和膀胱肿瘤居多,占2/3以上。作者70岁以上的手术151例,其中前列腺术手74例(49％),有50例是经尿道前列腺切除术。膀胱肿瘤12例,有6例行经尿道膀胱肿瘤切除术。经皮肾切开取石术13例。共69例(45.7％)施行了内镜手术。前列腺增生症剖腹被膜下前列腺摘除术,肾癌、前列腺癌及
Japan As one of the longevity countries in the world, the medical problems of the elderly are increasing in recent years. Urological surgery is no exception. Although great progress has been made in anesthesia and preoperative and postoperative management, it is undeniably still dangerous. First, the incidence and type of operation Author of the author from 1986 to 1988, 556 cases of surgery, the age constitution, 60 cases of age group 140 cases (25%), 70 years old group 133 cases (24%), 80 years old group 18 cases (3.2%). There is no clear criterion for the decision of the elderly, once the standard of more than 65 years old, and recently more than 75 years of age, especially over the age of 80 can be called elderly surgery. Urology 80-year-old cases, the majority of reports is 3.4%, the authors report the same. Surgical diseases to the majority of benign prostatic hyperplasia and bladder cancer, accounting for more than 2/3. There were 151 surgeries of patients over the age of 70, including 74 prostatectomy (49%) and 50 transurethral resection of the prostate. Bladder tumor in 12 cases, 6 cases of transurethral resection of the bladder tumor. Percutaneous nephrolithotomy in 13 cases. A total of 69 cases (45.7%) underwent endoscopic surgery. Prostate hyperplasia Caesarean section subretinal prostatectomy, kidney cancer, prostate cancer and