Bapat Shivadeo, Umranikar Salil, Satav Vikram, Bapat Abhijeet, Joshi Arun, Ranade Gauri
Dr. Y. G. Bodhe Department of Urology, Maharashatra Medical Foundation's Ratna Memorial Hospital, S. Bapat Road, Pune, India.
Indian J Urol. 2007 Apr;23(2):126-9. doi: 10.4103/0970-1591.32061.
We conducted a study to detect, quantify and compare irrigation fluid absorption in transurethral resection of the prostate (TURP) and Holmium laser enucleation of the prostate (HoLEP), using BEC.
The study included 50 patients of lower urinary tract symptoms, secondary to benign enlargement of prostate. The patients were nonrandomly allocated to undergo TURP and HoLEP. Twenty-six patients underwent TURP and the remaining 24 underwent HoLEP. Sterile water tagged with 1% ethanol w/v was used for irrigation. Absorption was detected and quantified every 10min by BEC levels. Data was analyzed using standard nomograms.
In HoLEP, 14/24 had no fluid absorption. The remaining 10/24 showed fluid absorption ranging from 95 ml to 300 ml. In TURP, all had fluid absorption ranging from 250-980 ml. Three TURP patients developed overt symptoms, while none did in the HoLEP group.
Fluid absorption observed in our study in the HoLEP group was lower than in the TURP group.
我们开展了一项研究，使用膀胱内乙醇浓度（BEC）检测、量化并比较经尿道前列腺切除术（TURP）和钬激光前列腺剜除术（HoLEP）中的灌洗液吸收情况。
该研究纳入了50例因前列腺良性增生继发下尿路症状的患者。这些患者被非随机分配接受TURP和HoLEP手术。26例患者接受了TURP，其余24例接受了HoLEP。使用含1%乙醇（重量/体积）标记的无菌水进行灌洗。每10分钟通过BEC水平检测并量化吸收情况。数据使用标准列线图进行分析。
在HoLEP组中，24例中有14例无灌洗液吸收。其余10/24例显示灌洗液吸收量在95毫升至300毫升之间。在TURP组中，所有患者的灌洗液吸收量在250 - 980毫升之间。3例TURP患者出现明显症状，而HoLEP组中无患者出现此类症状。
我们的研究中观察到HoLEP组的灌洗液吸收低于TURP组。
