- 期刊
- OpenAccess
Comparison of Bipolar Electrocautery Device and Traditional Monopolar Electrocautery Device in TURP for the Treatment of Benign Prostatic Hyperplasia-Preliminary Report
比較雙極電刀及單極電刀在治療良性攝護腺增生的內視鏡刮除手術其效能與安全性－初步報告
摘要
The major complication of traditional monopolar TURP is water intoxication due to distilled water absorption during resection. The new bipolar electrocautery device can be used in TURF procedure using saline irrigation and therefore decrease TUR syndrome. The aim of this study is to evaluate the efficacy and the safety of this new system in TURF. From April to October 2003, totally 40 patients aged 58 to 86 years (means: 69.3) were randomly assigned to receive bipolar or monopolar TURF. Pre-operative and post-operative serum sodium concentration, hemoglobin level, resection time, blood loss and weight of specimen were checked. Qmax, I-PSS, IIEF-5 and bladder neck contracture were reassessed at the 6-month and I-year visits. Results: There were no significant differences in hemoglobin level, blood loss, resection time and weight of specimen between two groups. The difference of serum sodium level change after the operation was significant between these 2 groups (P＜0.001). Bipolar electrocautery device is safer than traditional mono electrocautery device fur TURP procedure by decreasing of TUR syndrome and produces the similar results at 6 months and 1 year of follow-up.
並列摘要
The major complication of traditional monopolar TURP is water intoxication due to distilled water absorption during resection. The new bipolar electrocautery device can be used in TURF procedure using saline irrigation and therefore decrease TUR syndrome. The aim of this study is to evaluate the efficacy and the safety of this new system in TURF. From April to October 2003, totally 40 patients aged 58 to 86 years (means: 69.3) were randomly assigned to receive bipolar or monopolar TURF. Pre-operative and post-operative serum sodium concentration, hemoglobin level, resection time, blood loss and weight of specimen were checked. Qmax, I-PSS, IIEF-5 and bladder neck contracture were reassessed at the 6-month and I-year visits. Results: There were no significant differences in hemoglobin level, blood loss, resection time and weight of specimen between two groups. The difference of serum sodium level change after the operation was significant between these 2 groups (P＜0.001). Bipolar electrocautery device is safer than traditional mono electrocautery device fur TURP procedure by decreasing of TUR syndrome and produces the similar results at 6 months and 1 year of follow-up.
延伸閱讀
- Lin, M. S., Wu, J. C. H., Hsieh, H. L., Lin, T. C., Chen, C. C., & Lin, E. (2006). 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. Mid-Taiwan Journal of Medicine, 11(3), 143-148. https://doi.org/10.6558/MTJM.2006.11(3).1
- Wang, M. H., Chang, C. C., & Tsai, J. T. (2017). 螺旋刀、相切照野中照野與強度調控放射治療用於雙邊乳房癌症治療之劑量差異分析. 放射治療與腫瘤學, 24(2), 107-118. https://doi.org/10.6316/TRO/201724(2)107
- Kuo, T. L., Jiang, R. S., Huang, Y. C., & Liu, S. A. (2015). 以隨機臨床試驗比較電漿刀輔助與傳統懸壅垂腭咽成形術之術後疼痛. 台灣耳鼻喉頭頸外科雜誌, 50(2), 82-89. https://doi.org/10.6286/2015.50.2.82
- Tseng, H. Y., Wu, W. C., & Hsu, S. Y. (2007). 比較增殖性視網膜病變眼接受單獨玻璃體切除術以及玻璃體切除術合併超音波晶體乳化術及人工水晶體植入術之預後. The Kaohsiung Journal of Medical Sciences, 23(7), 339-343. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200707-23-7-339-343-a
- Chen, C. H., Chang, J. Y., Wang, C. C., Chuang, S. F., Chen, C. C., & Lin, Y. M. (2002). 護士協助式經皮內視鏡胃造瘻術之安全性與可行性之評估. 臺灣消化醫學雜誌, 19(2), 133-138. https://doi.org/10.6557/GJT.200206_19(2).0003