Grundy P L, Budd D W, England R
Department of Surgery, Horton General Hospital, Banbury, UK.
Br J Urol. 1997 Dec;80(6):894-7. doi: 10.1046/j.1464-410x.1997.00458.x.
To compare the safety of sterile water and glycine when used as bladder irrigation during transurethral electrovaporization of the prostate (TUVP) in a randomized controlled trial.
The study comprised 50 consecutive patients admitted for transurethral prostatic surgery who were randomly allocated to receive bladder irrigation with either sterile water or 1.5% glycine during TUVP. After surgery, serum electrolytes and the presence of free plasma haemoglobin (suggesting haemolysis) were determined and the patients observed for clinical evidence of the transurethral resection (TUR) syndrome.
There was no significant difference in the level of free plasma haemoglobin between the groups and no difference in serum sodium levels. None of the patients developed any signs of the TUR syndrome.
Water is a safe irrigant for use during TUVP and has several advantages over 1.5% glycine.
在一项随机对照试验中比较无菌水和甘氨酸在经尿道前列腺电汽化术（TUVP）期间用作膀胱冲洗液时的安全性。
该研究纳入了50例连续接受经尿道前列腺手术的患者，他们在TUVP期间被随机分配接受无菌水或1.5%甘氨酸进行膀胱冲洗。术后，测定血清电解质及游离血浆血红蛋白（提示溶血）水平，并观察患者有无经尿道电切（TUR）综合征的临床证据。
两组间游离血浆血红蛋白水平无显著差异，血清钠水平也无差异。所有患者均未出现TUR综合征的任何体征。
水是TUVP期间使用的一种安全冲洗液，与1.5%甘氨酸相比有多个优点。
