通过尿道切除前列腺 (TURP) 的结果,使用5%的乳糖水作为灌剂
O C Amu1, E A Affusim2, U U Nnadozie3
1Department of Surgery, College of Medicine, University of Nigeria, Enugu Campus, Nigeria.
Nigerian journal of clinical practice
|November 6, 2023
概括
通过尿道切除前列腺 (TURP) 使用5%的乳糖水作为灌液产生了与其他液体相似的结果. 这项研究表明,5%的乳糖水是单极TURP手术的可行替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术手术手术手术手术手术手术手术手术手术
- 医学研究 医学研究
背景情况:
- 通过尿道切除前列腺 (TURP) 是良性前列腺增生的一种标准治疗方法.
- 在单极TURP过程中使用各种灌液,液体选择受到多个因素的影响.
- 不同灌液的安全性和有效性是手术结果的关键考虑因素.
研究的目的:
- 评估使用5%的乳糖水作为灌液的单极 TURP 的结果.
- 将结果与现有研究进行比较,这些研究在单极TURP期间使用了替代灌液.
- 为了确定5%的乳糖水是否在这种外科背景下是一种安全有效的灌液.
主要方法:
- 一项前性研究涉及220名接受单极 TURP 的患者.
- 该程序在2015年至2020年期间使用了5%的乳糖水作为灌液.
- 结果通过症状得分 (IPSS/QOLS) 和并发症率 (早期和晚期) 来评估.
主要成果:
- 共有220名患者完成了这项研究,平均年龄为66.25岁.
- 在国际前列腺症状评分/生活质量 (IPSS/QOLS) 评分中观察到显著改善.
- 发现TURP综合征的发病率较低;早期并发症包括尿路感染 (13.2%) 和二次出血 (10%). 晚期并发症包括过渡性失禁 (6.4%) 和尿道狭窄 (4.1%).
结论:
- 使用5%的乳糖水的单极TURP显示了与使用其他灌液的程序相似的结果.
- 5%的乳糖水是单极TURP的安全有效的替代灌液.
- 这项研究支持在临床实践中用于TURP手术时使用5%的乳糖水.
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