摘要
为解除前列腺癌所致的膀胱出口梗阻，对４７例前列腺癌病人行睾丸切除术及采用经尿道前列腺电切（ＴＵＲＰ）治疗。平均随访２．８年。结果：电切前列腺组织１７．１±６．６ｇ，手术前后对比，国际前列腺症状评分（ＩＰＳＳ）由２３．６±５．５降至８．９±２．０，最大尿流率由６．２±３．０提高至１４．５±４．４ｍｌ／ｓ，前列腺体积由５４．６±１５．０降至２８．１±６．１ｍｌ。６例电切彻底者最后切除前列腺标本仍有前列腺癌组织。术后未发现有血行转移。认为ＴＵＲＰ是前列腺癌的姑息性治疗措施，不会引起血行转移，但电切不彻底。
Transurethral resection of prostate for prostatic cancer was carried out to relief bladder outlet obstruction in 47 patients. The patients have been followed up for a mean of 2.8 years.The weight of prostate tissue resected was 17.1±6.6g. IPSS has been dropped from 23.6±5.5 to 8.9±2.0 ,the maximum flow rate(MFR) has been elevated from 6.2±3.0 to 14.5±4.4ml/s and the volume of prostate decreased from 54.6±15.0 to 28.1±6.1ml. The prostate tissues resected at the end of TURP in 6 patients were still positive for cancer tissues. Blood metastasis is not found postoperatively.TURP is a palliative treatment for prostatic cancer and does not result in tumor dissemination.The decrease in prostate volumes is mainly a result of androgen deprivation.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1998年第9期534-536,共3页
Chinese Journal of Urology
