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- Comparison between Monopolar and Bipolar TURP in Treating Benign Prostatic Hyperplasia: 1-Year Report
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題名 | Comparison between Monopolar and Bipolar TURP in Treating Benign Prostatic Hyperplasia: 1-Year Report=比較雙極電刀及單極電刀用於良性攝護腺增生的內視鏡刮除手術之效能與安全性:一年追蹤報告 |
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作者 | 林茂盛; 吳其翔; 謝輝龍; 林大鐘; 陳兆智; 林育慶; | 書刊名 | 中臺灣醫學科學雜誌 |
卷期 | 11:3 民95.09 |
頁次 | 頁143-148 |
分類號 | 416.275 |
關鍵詞 | 雙極電刀; 內視鏡刮除手術; Bipolar electrocautery device; TURP; |
語文 | 英文(English) |
中文摘要 | 目的 傳統單極電刀在從事經尿道攝護腺刮除手術的萬大併發症是水中毒,低血鈉等經尿道刮除手術症候群。雙極電刀以生理食鹽水做為術中的沖洗液,因而減少經尿道刮除手術症候群的發生。本文旨在比較雙極電刀及單極電刀用於良性攝護腺增生的內視鏡刮除手術之效能與安全性。 方法 從2003年4月至10月,總共收集40位良性攝護腺的病患,以隨機的方式接受雙極電刀(22位)及單極電刀(18位)的治療,分析兩組的手術時間、刮除的病理重量、術前及術後的鈉離子變化與術後6個月及1年的I-PSS、Qmax的比較。 結果 兩組在手術時間、刮除的病理重量、流血量並沒有統計學上的差異,術後I-PSS及Qmax的比較上,兩組都有相同的改善結果。但關於手術及手術後血清中鈉離子的變化,單極電刀比雙極電刀有明顯降低(p<0.001)。 結論 雙極電刀和單極電刀在治療良性攝護腺增生有相同的效果,但因雙極可降低經尿道刮除術術症候群的發生,所以較單極電刀安全。 |
英文摘要 | Purpose. The major complication of traditional monopolar TURP is water intoxication due to absorption of distilled water during extended resection. A newly developed bipolar electrocautery device which uses saline irrigation decreases the risk of TUR syndrome. The aim of this study was to evaluate the efficacy and safety of this bipolar system. Methods. From April to October 2003, a total of 40 patients aged 58 to 86 years (mean: 69.3 yr were randomized into two comparable groups; one underwent bipolar TURP and the other received monopolar TURP. Pre-operative and post-operative serum sodium concentration, hemoglobin level, resection time, blood loss and weight of specimen were evaluated. Qmax, I-PSS and bladder neck contracture were reassessed at 6-month and 1-year follow-ups. Results. There were no significant differences in hemoglobin level, blood loss, resection time or weight of specimen between the two groups. However, the difference in serum sodium level after operation was significantly greater in the monopolar group (P<0.001). Conclusion. The bipolar electrocautery device is safer than the tranditional monoplar device for the TURP procedure; the bipolar device decreases the risk of TUR syndrome and produces results similar to those obtained with the monopolar device at 6-month and 1 year follow-ups. |
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