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dc.contributor.author矢島, 通孝ja
dc.contributor.author馬場, 克幸ja
dc.contributor.author柳澤, 直子ja
dc.contributor.author西田, 智保ja
dc.contributor.author山川, 克典ja
dc.contributor.author武村, 宏ja
dc.contributor.author西田, 茂史ja
dc.contributor.author岩本, 晃明ja
dc.contributor.alternativeYAJIMA, Michitakaja
dc.contributor.alternativeBABA, Katsuyukija
dc.contributor.alternativeYANAGISAWA, Naokoja
dc.contributor.alternativeNISHIDA, Takayasuja
dc.contributor.alternativeYAMAKAWA, Katsunorija
dc.contributor.alternativeTAKEMURA, Hiroshija
dc.contributor.alternativeNISHIDA, Shigehitoja
dc.contributor.alternativeIWAMOTO, Teruakija
dc.date.accessioned2010-05-27T06:47:36Z-
dc.date.available2010-05-27T06:47:36Z-
dc.date.issued2000-04ja
dc.identifier.issn0018-1994ja
dc.identifier.urihttp://hdl.handle.net/2433/114261-
dc.description.abstractVaporTomeTMを使用した経尿道的前立腺手術は,通常のループ型電極と比較して,ほぼ同様の優れた治療効果を有している.切除組織重量はループ型電極よりは少ないものの,病理学的診断には十分な量の組織の採取が可能である.他の低侵襲治療法と比較して,通常の切除鏡と電気メスが使用できるため経済効率の面からも優れていると考えるja
dc.description.abstractFrom December 1996 to June 1998, we performed transurethral surgery of the prostate using a thick loop, VaporTome developed by Circon ACMI on 23 patients with symptomatic benign prostatic hyperplasia (BPH). The mean international prostate symptom score decreased significantly, from 22.6 at baseline to 9.0, 6.5, 4.9 and 5.3 at 1, 3, 6 and 12 months after operation, respectively. The mean quality of life index also decreased significantly, from 5.5 to 1.8, 1.8, 1.4 and 1.2, respectively. The mean peak flow rate increased significantly, from 6.2 preoperatively to 15.8, 17.1, 16.6 and 17.4 ml/sec at 1, 3, 6 and 12 months after operation, respectively. The mean prostate volume decreased significantly, from 66.9 to 24.8, 17.3, 19.0 and 18.2 ml. The mean residual urine decreased significantly, from 167.9 to 11.4, 9.4, 12.8 and 20.4 ml. As for overall efficacy, the rate of excellent and good cases at 1, 3, 6 and 12 months was 80.9, 89.4, 94.7 and 85.8%, respectively. No serious complications were observed. Our clinical results suggest that transurethral surgery for BPH using VaporTome has several potential advantages including high efficacy, minimal morbidity compared with standard transurethral resection of the prostate and lower cost compared with other minimally invasive procedures.ja
dc.format.mimetypeapplication/pdfja
dc.language.isojpnja
dc.publisher泌尿器科紀要刊行会ja
dc.subjectProstateja
dc.subjectBenign prostatic hyperplasiaja
dc.subjectElectrosurgeryja
dc.subjectTransurethral surgeryja
dc.subject.ndc494.9ja
dc.title厚型電極VaporTomeを用いた経尿道的前立腺手術に関する臨床的検討ja
dc.title.alternativeClinical study of transurethral surgery for benign prostatic hyperplasia using a thick loop (VaporTome)ja
dc.type.niitypeDepartmental Bulletin Paperja
dc.identifier.ncidAN00208315ja
dc.identifier.jtitle泌尿器科紀要ja
dc.identifier.volume46ja
dc.identifier.issue4ja
dc.identifier.spage247ja
dc.identifier.epage250ja
dc.textversionpublisherja
dc.sortkey04ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address聖マリアンナ医科大学泌尿器科学教室ja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.address.alternativethe Department of Urology, St. Marianna University School of Medicineja
dc.identifier.pmid10845155ja
Appears in Collections:Vol.46 No.4

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