Schaefer M, Brühl P, Liappis N
Urologische Klinik, Rheinischen Friedrich-Wilhelms-Universität Bonn.
Urologe A. 1990 Jul;29(4):209-12.
Trocar resection is superior to Iglesias' backwash resection. The main criteria on which this assessment is based are the larger operative specimen obtained, the shorter duration of the operation, and the much smaller intraoperative infiltration volume. This last was determined using a glycine irrigation solution, by measuring the increase in glycine in the serum by means of column chromatography. This showed that the intravesical irrigation pressure determines the absorption volume after opening of the venous sinus, while the duration of the resection and the volume of irrigation solution employed perioperatively are of less importance. In the case of alcohol-based irrigation solutions these results can be confirmed by measuring the "standby" alcohol in the respiratory air.
套管针切除术优于伊格莱西亚斯的回洗切除术。做出这一评估的主要标准是获得的手术标本更大、手术时间更短以及术中渗液量小得多。最后一点是通过使用甘氨酸冲洗液,借助柱色谱法测量血清中甘氨酸的增加来确定的。这表明静脉窦开放后膀胱内冲洗压力决定吸收量,而手术时间和围手术期所用冲洗液的量则不太重要。对于基于酒精的冲洗液,这些结果可以通过测量呼出气体中的“备用”酒精来证实。