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タイトル: | 前立腺肥大症に対する経尿道的前立腺電気蒸散術(Transurethral electrovaporization of the prostate:TUV-P)とTUR-Pの比較検討 |
その他のタイトル: | Transurethral electrovaporization of the prostate (TUV-P): comparative study with transurethral resection (TUR-P) |
著者: | 宮田, 康好 古川, 正隆 酒井, 英樹 斉藤, 泰 |
著者名の別形: | MIYATA, Yasuyoshi FURUKAWA, Masataka SAKAI, Hideki SAITO, Yutaka |
キーワード: | Benign prostatic hyperplasia Transurethral electrovaporization Roller bar Roller loop |
発行日: | Jul-1997 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 43 |
号: | 7 |
開始ページ: | 477 |
終了ページ: | 482 |
抄録: | TUV-Pを行った27例を対象とした.TUV-Pはその効果でTURと同等であり, カテーテル留置期間を短縮できる等の利点を認めた.但し, TUV-PはTURに比し術後尿路感染の期間の延長を認める傾向が示された.ローラーバーとローラーループを比較すると, 手術時間でローラーループ型電極が優れている A total of 27 patients with benign prostatic hyperplasia were treated by transurethral electrovaporization of the prostate (TUV-P). A roller bar electrode was used for 13 patients and a roller loop electrode for 14. Therapeutic efficacy and complications of TUV-P were compared with those of transurethral resection of the prostate (TUR-P) performed before TUV-P was started (24 patients). The improvements in subjective symptom scores and objective voiding parameters after 3 months were not significantly different between the TUV-P and TUR-P groups. Furthermore, the improvements were similar between TUV-P using the roller bar and the roller loop. No patients treated by TUV-P had TUR syndrome or received blood transfusion, while blood transfusion was performed in 4 patients treated by TUR-P. Postoperative duration of urethral catheterization and hospital stay was significantly shorter in the TUV-P group than in the TUR-P group. The operative time for TUV-P (roller bar) was 1.6 min per g. preoperative prostate volume, while that for TUV-P (roller loop) and TUR-P was 2.1 and 1.9 min/g, respectively. From our experience, TUV-P was as effective as TUR-P for relieving bladder outlet obstruction with fewer complications. Furthermore, the operative time could be shortened with a roller loop. |
URI: | http://hdl.handle.net/2433/115997 |
PubMed ID: | 9282292 |
出現コレクション: | Vol.43 No.7 |
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