双极能量用于经尿道膀胱肿瘤切除术的安全性和有效性：一项前瞻性半随机研究。
Safety and efficacy of bipolar energy for transurethral resection of bladder tumours: a prospective quasi-randomized study.
作者信息
Thirugnanasambandam Vasudevan, Ramanathan Jeyaraman
机构信息
Department of Urology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
Department of Urology, Sri Balaji Medical College and Research Institute, Chennai, India.
出版信息
Turk J Urol. 2017 Jun;43(2):141-146. doi: 10.5152/tud.2017.33396. Epub 2017 May 3.
OBJECTIVE
The primary aim of the study was to evaluate the safety and efficacy of bipolar energy in resecting bladder tumors.
MATERIAL AND METHODS
The study was done between March 2012 and February 2013. This is a prospective quasi-randomized study evaluating the safety and efficacy of bipolar energy in transurethral resection of bladder tumours (TURBT). Institutional Ethics Committee approval was obtained. Informed consent was taken from all patients. Patients were randomized into two groups of 50 each to undergo either monopolar TURBT or bipolar TURBT using glycine and saline irrigation solutions, respectively.
RESULTS
Most important of all, the means of variables were compared between the two energy sources to know the difference between them and its significance. Hematocrit level, resection time and obturator jerks had significant values.
CONCLUSION
The results of this study indicated that bipolar resection of bladder tumours have lower incidence of complications especially bleeding, TUR syndrome, obturator jerks and bladder perforation. Bipolar TURBT is safe and efficacious in managing bladder tumours.
目的
本研究的主要目的是评估双极能量在切除膀胱肿瘤中的安全性和有效性。
材料与方法
研究于2012年3月至2013年2月进行。这是一项前瞻性半随机研究，评估双极能量在经尿道膀胱肿瘤切除术（TURBT）中的安全性和有效性。获得了机构伦理委员会的批准。所有患者均签署了知情同意书。患者被随机分为两组，每组50例，分别使用甘氨酸和生理盐水冲洗液进行单极TURBT或双极TURBT。
结果
最重要的是，比较了两种能量源之间的变量均值，以了解它们之间的差异及其显著性。血细胞比容水平、切除时间和闭孔肌反射具有显著值。
结论
本研究结果表明，膀胱肿瘤的双极切除术并发症发生率较低，尤其是出血、TUR综合征、闭孔肌反射和膀胱穿孔。双极TURBT在治疗膀胱肿瘤方面是安全有效的。
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