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中華民國泌尿科醫學會雜誌

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篇名 Change of Prostate-Specific Antigen Value after Transurethral Resection of the Prostate: How Long to Achieve a Stable Value?
卷期 5:2
並列篇名 前列腺特異抗原值在手術後回復穩定所需時間之研究
作者 張宏江楊文智吳劍清陳修義
頁次 77-81
關鍵字 前列腺肥大,原前列腺特異抗前列腺切除術prostatic hyperplaisaprostate-specific antigenprostatectomyTSCI
出刊日期 199406

中文摘要

為了了解在經尿道前列腺切除術後須多長期間,手術引起的前列腺特異抗原值上升,才能回復到正常值或穩定值。我們設計了一個臨床研究計劃,共選取24名前列腺肥大接受經尿道前列腺切除術的病人,分別於手術前及手術後24小時,7日、14日及28日測量其血清之前最腺特異抗原值。以統計方法分析結果,我們可發現前列腺特異抗原值在手術9.9日回復到手術前之數值。以4.0ng/ml為正常值上限,則在手術後21.7日回復到正常值。而手術後第三週時前列腺特異抗原值回到穩定之狀態。有了這些參考日數後,吾人才能知道手術後多久之前列腺特異抗原值是否資憑斷的。

英文摘要

A clinical study was designed to determine the duration required for serum prostatespecific antigen (PSA) concentration return to a stable value following transurethral resection of the prostate (TUR-P). There were 24 patients in study. The serum PSA concentrations were measured before the procedures, then 24 hours, 1 week, 2 weeks and 1 month following TUR-P. Using statistical analysis, it was found that the PSA value returned to pre-operative level at 9.9 days. The upper limit of PSA value of normal range is defined as 4.0ng/ml; the PSA value returned to this value at 21.7 days after TUR-P. Also the PSA value will return to stable baseline level the third week , post-operatively. The physician should thus wait at least three weeks after TUR-P for PSA to reach, baseline levels.

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