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攝護腺肥大治療 --- 藥物、傳統手術、 雷射手術

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<div><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style=" background-color: white; color: rgb(51, 51, 51);font-family: &quot;Times New Roman&quot;; font-size: 20px; font-style: normal; text-align: left; text-indent: 0px; white-space: normal;"><div class="pasteContent" style="display:inline;" _ngcontent-c44=""> <h2 data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-style: normal; line-height: 19.5pt; margin: 11.25pt 0cm 0cm; text-align: left; text-indent: 0px; white-space: normal;"><p data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="text-align: justify;"><span style="font-size: 18pt;"><font color="#3367d6"><strong>攝護腺肥大治療 --- 藥物、傳統手術、 雷射手術</strong></font></span></p><p data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: rgb(0, 0, 0); font-size: 20px; text-align: justify;"><b><span style="font-size: 18pt;">中華民國泌尿腫瘤關懷協會祕書長</span></b></p><p data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: rgb(0, 0, 0); font-size: 20px; text-align: justify;"><b><span style="font-size: 18pt;">泌尿外科</span></b><b><span data-original-attrs="{&quot;lang&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="font-family: &quot;times new roman&quot;, serif; font-size: 13.5pt;">&nbsp;&nbsp;</span></b><b><span style="font-size: 18pt;">呂謹亨</span></b><b><span data-original-attrs="{&quot;lang&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="font-family: &quot;times new roman&quot;, serif; font-size: 13.5pt;">&nbsp;&nbsp;</span></b><b><span style="font-size: 18pt;">醫師</span></b></p></h2> </div><br></span></div></div><div class="pasteContent" style="display:inline;" _ngcontent-c44=""> <span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style=" background-color: white; color: rgb(51, 51, 51);font-family: &quot;Times New Roman&quot;; font-size: 20px; font-style: normal; text-align: left; text-indent: 0px; white-space: normal;"><div><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style=" background-color: white; color: rgb(51, 51, 51);font-family: &quot;Times New Roman&quot;; font-size: 20px; font-style: normal; text-align: left; text-indent: 0px; white-space: normal;"><br></span></div></div>「攝護腺肥大」是中老年男性相當常見的泌尿科疾病,50歲以上男性,將近50%會出現排尿困難、頻尿、夜尿等種種症狀;70歲以上,更是高達70%會有攝護腺問題。一旦症狀出現,若沒有及時就醫,不僅生活品質受影響,膀胱功能、腎功能的負擔及損傷也愈來愈重。</span><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;"><br></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;"><span style="font-size: 18pt;">攝護腺肥大</span><strong>症狀</strong><strong>輕微者</strong>可先以<span style="color: rgb(112, 173, 71); text-decoration: inherit;"><strong>藥物治療</strong></span>,症狀很明顯經藥物治療,卻<strong>無明顯改善</strong>,可接受<span style="color: rgb(68, 114, 196); text-decoration: inherit;"><strong>手術治療</strong></span>,<span style="font-size: 14pt;">但</span><span style="font-size: 14pt;">傳統手術是經由尿道攝護腺刮除,出血較多,住院期間長</span></font><span style="color: rgb(0, 0, 0); text-decoration: inherit;"><span style="font-size: 18pt;">;</span></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: blue; font-size: 20px;"><strong>對於年紀大、有心肺疾病者與年輕患者可考慮以「雷射</strong></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: blue; font-size: 20px;"><strong>攝護腺手術</strong></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: blue; font-size: 20px;"><strong>」。</strong></span><div><br data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;">由於「</span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: blue; font-size: 20px;"><strong>雷射</strong></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: blue; font-size: 20px;"><strong>攝護腺手術</strong></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;">」的限制不多,因此有服用抗凝血藥,或有中風病史、罹患心血管疾病的病患也適用;即使在半身麻醉情況下,也可施行雷射以取代傳統電刀。對於合併心血管疾病的高齡患者而言,不必強行停藥來降低手術風險。對於年紀較輕者,使用該雷射不但出血小,亦較不會影響性功能。</span><br data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;"><br data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;">臨床上很多下泌尿道問題,大多由攝護腺肥大引起的,少部份有可能是攝護腺癌,民眾若</span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;"><font color="#d52c1f">有小便困難、尿柱變小、小便無力、中斷、急尿、頻尿與夜尿</font></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;">等,切記至泌尿科檢查是否為攝護腺問題,這類患者可接受抽血檢查攝護腺特異抗原,以排除</span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;"><font color="#d52c1f">攝護腺癌</font></span><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="background-color: white; color: rgb(51, 51, 51); font-size: 20px;">的可能。另外,提醒民眾</span><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;">平時即要保養,可多喝水、不要憋尿、少吃油炸類食物、多吃青菜水果,並適時的運動及維持正常性生活。</font></div></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><br></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white; font-size: 20px;"><br></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: black; font-family: verdana, arial, helvetica, sans-serif;"><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><font color="#ff4c06">認</font></strong></span><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; color: black; font-family: verdana, arial, helvetica, sans-serif; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">識攝護腺肥大</strong></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white;"><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; color: black; font-family: verdana, arial, helvetica, sans-serif; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-weight: 400;">攝護腺肥大是因為攝護腺核心部分長出新的生成物,似乎會隨著老化而發生。腫大的腺體有時會擠壓尿道,阻礙尿液流動,就會造成擾人的排尿症狀,如頻尿、尿急及夜尿次數增加、排尿困難、尿流速率降低、解尿時斷斷續續、解尿完仍有尿滴情況等問題,以上症狀將會嚴重影響生活品質。</span></strong></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white;"><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; color: black; font-family: verdana, arial, helvetica, sans-serif; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-weight: 400;"><br></span></strong></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><font data-original-attrs="{&quot;color&quot;:&quot;&quot;,&quot;style&quot;:&quot;&quot;}" style="background-color: white;"><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; color: black; font-family: verdana, arial, helvetica, sans-serif; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-weight: 400;"><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><font color="#ff4c06">雷</font></strong></span><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">射攝護腺汽化介紹</strong></strong></font></div><div style="color: rgb(0, 0, 0); font-family: &quot;Times New Roman&quot;; font-size: medium; font-weight: 400; text-align: left; text-indent: 0px; white-space: normal;"><ul><li><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-family: verdana, arial, helvetica, sans-serif;">利用汽化方式將增生攝護腺體積變小,並在手術中同時達到止血效果。</span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-family: verdana, arial, helvetica, sans-serif;">對較深層的組織不會造成傷害,因此副作用少、恢復快,大部份病患在24小時後拔除尿管,幾乎就能正常排尿,患者1~2天即可出院,短時間內回復正常作息。</span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="font-family: verdana, arial, helvetica, sans-serif;">更適合擔心出血量過多而需輸血的患者,或罹患心血管、高血壓等疾病之患者,以及在乎性功能是否保存的男性患者。</span></li></ul><div><table border="0" cellpadding="0" cellspacing="0" data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: black; font-family: verdana, arial, helvetica, sans-serif; width: 903px;"><tbody><tr><td align="left" class=""><span><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><font color="#ff4c06">適</font></strong></span><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><b>合接受雷射治療之病症</b><br><ul><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">良性攝護腺肥大之男性患者。</span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">適用於心肺功能差、高血壓、糖尿病、凝血功能不良等患者。</span></li></ul><br><strong data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; font-family: verdana, arial, helvetica, sans-serif; font-weight: bold; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><font color="#ff4c06">雷</font></strong><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; font-family: verdana, arial, helvetica, sans-serif; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><b>射攝護腺汽化介紹</b><br><ul><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">立刻解除病人排尿困難的症狀。</span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">患者1~2天即可出院,短時間內回復正常作息。</span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;"><table border="0" cellpadding="0" cellspacing="0" data-original-attrs="{&quot;style&quot;:&quot;&quot;}" style="color: black; font-family: verdana, arial, helvetica, sans-serif; width: 863px;"><tbody><tr><td align="left" valign="top">手術過程幾乎不出血。</td></tr></tbody></table></span></li><li><span data-original-attrs="{&quot;style&quot;:&quot;filter: none;&quot;}" style=" border: 0px; line-height: 24.8px; margin: 0px; padding: 0px; list-style: none;">併發症及副作用極少、不需輸血、沒有水中毒之風險</span></li></ul></span><br></span></td></tr></tbody></table></div></div> </div><p><br></p><p></p><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><p><br></p><div class="pasteContent" style="display:inline;" _ngcontent-c44=""></div></div><p><br></p><p></p><p></p><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><p><img class="e-rte-image e-imginline" width="auto" height="auto" alt="圖片2.png" src="https://expert.med-net.com/upload/ArticleDetail/11503/圖片2.png" style="min-width: 0px; 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color: rgb(21, 59, 95);font-family: &quot;Microsoft JhengHei&quot;, sans-serif; font-size: 16px; font-style: normal; line-height: inherit; padding: 0px; text-align: start; text-indent: 0px; vertical-align: baseline; white-space: normal;"><div class="logo" style=" border: 0px; display: inline-block;font-family: inherit; font-size: 16px; font-style: inherit; line-height: inherit; max-width: 250px; padding: 0px; position: relative; vertical-align: baseline;"><img src="https://image3.thenewslens.com/assets/web/publisher-photo-1.png" alt="thenewslens_logo" style=" border: none;font-family: inherit; font-size: 16px; font-style: inherit; line-height: inherit; padding: 0px; vertical-align: baseline; width: 250px;" class="e-rte-image e-imginline"></div></a><!--EndFragment--> </div><br><p></p><p></p><div class="pasteContent" style="display:inline;" _ngcontent-c44=""><div class="pasteContent" style="display:inline;" _ngcontent-c44=""> <!--StartFragment--><div class="article-info" style="border: 0px; color: rgb(119, 119, 119); font-family: &quot;Microsoft JhengHei&quot;, sans-serif; font-size: 14px; font-style: normal; line-height: inherit; padding: 0px; text-align: left; text-indent: 0px; vertical-align: baseline; white-space: normal;">2017/02/06,<span>&nbsp;</span><a href="https://www.thenewslens.com/category/health" style=" border: 0px; color: rgb(21, 59, 95);font-family: inherit; font-size: 14px; font-style: inherit; line-height: inherit; padding: 0px; text-decoration: none; vertical-align: baseline;">健康</a></div><h1 class="article-title" id="article-title-60557" style=" border: 0px; color: rgba(0, 0, 0, 0.87);font-family: &quot;Microsoft JhengHei&quot;, sans-serif; font-size: 24px; font-style: normal; line-height: 1.4em; padding: 0px; text-align: center; text-indent: 0px; vertical-align: baseline; white-space: normal;"><header style="border: 0px; display: block; font-family: inherit; font-size: 24px; font-style: inherit; line-height: inherit; padding: 0px; vertical-align: baseline; text-align: left;">攝護腺肥大成因、症狀與篩檢:讓我們從生理與解剖結構看起</header></h1><!--EndFragment--> </div></div><p></p><p><a classname="e-rte-anchor" href="https://reurl.cc/yZj0py" title="https://reurl.cc/yZj0py"><span style="font-size: 14pt;">https://reurl.cc/yZj0py</span> </a></p></div><br></div>

呂謹亨

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2020:06:24

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