评估双极技术在经尿道前列腺切除术中的安全性和有效性:一家三级私立医院的研究

Mohammad Hasibul Islam, N. I. Bhuiyan, Tasnim Alam Manzer, Md. Abdullah Al Mamun, Ranen Biswas, Sayeef Ullah Sujan
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摘要

背景:前列腺良性增生(BEP)是老年男性的常见病,主要来自前列腺过渡区,会导致下尿路症状。尽管目前有多种治疗方法,但经尿道前列腺切除术(TURP)一直是基准干预措施。最近,人们对双极能量技术的兴趣与日俱增,因为这种技术在减轻经尿道前列腺切除术综合征和手术出血等并发症方面具有潜在优势。研究目的本研究的主要目的是评估双极技术用于 TURP 的安全性(包括血清钠和血红蛋白降低、血块滞留、TUR 综合征、导尿时间和住院时间)和有效性(切除率、最大流速增加和国际前列腺症状评分降低)。方法与材料:一项前瞻性观察研究于 2020 年 12 月至 2021 年 11 月在孟加拉国达卡 Square 医院有限公司泌尿科进行。研究采用了全面的术前评估,包括使用奥林巴斯 ESG-400 能量平台的双极经尿道前列腺切除术(B-TURP)。对无症状良性前列腺增生的手术参数、术后监测和统计分析都进行了细致的执行,以评估疗效和并发症。结果在 50 名接受双极经尿道前列腺切除术(B-TURP)的样本中,年龄分布显示双极系统的平均年龄为(66.97±7.95)岁,范围在 53-82 岁之间。大多数居住在城市地区(62%),家庭收入主要在 25000-50000 之间(42%)。术前基线变量,包括 IPSS、Qmax、血清血红蛋白和钠水平,在各组之间显示出相似的数值。术中,平均切除率为 0.56±0.16 gm/min。术后,B-TURP 会导致 ......
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Safety and Effectiveness of Bipolar Technology in Transurethral Prostate Resection: A study in a Tertiary Care Private Hospital
Background: Benign enlargement of prostate (BEP) is a common affliction among aging males, predominantly emanating from the transition zone of the prostate, resulting in lower urinary tract symptoms. Despite the availability of diverse treatment modalities, transurethral resection of prostate (TURP) has conventionally served as a benchmark intervention. Recently, there has been a growing interest in bipolar energy techniques, spurred by their potential advantages in mitigating complications such as TUR syndrome and surgical bleeding. Objectives: The main aim of the study to evaluate the safety profile (including serum sodium and hemoglobin reductions, clot retention, TUR syndrome, catheterization duration, and hospital stay) and efficacy (resection rate, maximum flow rate increase, and International Prostate Symptom Score reduction) within the bipolar technique for the TURP. Methods & Materials: A prospective observational study was conducted at the Department of Urology, Square Hospitals Ltd, Dhaka, Bangladesh, spanning December 2020 to November 2021. The study employed comprehensive preoperative assessments, including bipolar transurethral resection of the prostate (B-TURP) using Olympus ESG-400 energy platform. Surgical parameters, postoperative monitoring, and statistical analysis were meticulously executed to evaluate outcomes and complications for symptomatic benign enlargement of prostate. Results: In a sample of 50 individuals undergoing bipolar transurethral resection of the prostate (B-TURP), the distribution of ages revealed 66.97±7.95 years as the bipolar system's average age, ranging from 53-82 years. The majority resided in urban areas (62%), with family income predominantly in the 25000-50000 bracket (42%). Preoperative baseline variables, including IPSS, Qmax, serum hemoglobin, and sodium levels, exhibited similar values between groups. Intraoperatively, the mean resection rate was 0.56±0.16 gm/min. Postoperatively, B-TURP resulted in a slight ......
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