Evaluation of the Changes of Coagulation-Fibrinolysis System during Transurethral Resection of the Prostate by Thromboelastography / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1217-1222, 1997.
Artículo
en Coreano
| WPRIM
| ID: wpr-197019
ABSTRACT
We studied intraoperative changes of transurethral resection of the prostate in blood coagulation-fibrinolysis system by thromboelastography (TEG) in 31 patients with benign prostatic hyperplasia. As TEG parameters reaction time (R), clot formation time (K), maximum amplitude (MA), coagulation time (R+K), clot lysis index after 60 minutes (Ly60) were measured. The coagulability was evaluated by R and R+K, the absolute strength of clot by MA, and fibrinolysis by Ly60. Coagulation time (R+K) was shortened in patients with decreased platelet count under 30,000 u/L (p<0.05), irrigating fluid volume over 20,000 ml (p<0.05) and had a tendency of shortening in patient with resection time over 50minutes (p=0.078). MA had a tendency of increasing but significant contributing factor was not detected. The mean value of Ly60 was increased significantly but the change was in normal range. Irrigating fluid volume (r=-0.407, p<0.05) and resection time (r=-0.456, p<0.05) showed negative correlation significantly with the change of R + K. There was no significant correlation between resected prostatic weight and TEG parameters. We concluded that coagulability is increased during TURP suggesting a possible role in postoperative clot retention, but the risk of fibrinolysis is not increased in patients with normal coagulation-fibrinolysis system.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recuento de Plaquetas
/
Próstata
/
Hiperplasia Prostática
/
Tiempo de Reacción
/
Valores de Referencia
/
Tromboelastografía
/
Resección Transuretral de la Próstata
/
Fibrinólisis
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Urology
Año:
1997
Tipo del documento:
Artículo
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