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作 者:郑鸣[1] 何坚[1] 苏继峰[1] 黎明[1] 杨杰[1]
机构地区:[1]南华大学附属湘潭医院泌尿外科,湖南湘潭411101
出 处:《中国内镜杂志》2006年第11期1152-1153,共2页China Journal of Endoscopy
摘 要:目的探讨经尿道汽化加电切(TUVP+TURP)治疗前列腺癌。方法为解除前列腺癌导致的膀胱出口梗阻,对19例前列腺癌病人行睾丸切除术及采用经尿道前列腺汽化加电切(TUVP+TURP)治疗。随访6个月 ̄6年。结果治疗前IPSS(22.9±5.6),平均最大尿流率(Qmax)5.6mL/s,剩余尿(130.2±86.4)mL;治疗后IPSS(7.6±1.5),Qmax17.8mL/s,剩余尿(12.6±9.8)mL,切除前列腺组织2.8 ̄24.0g,平均(8.26±5.5)g。结论TUVP+TURP联合治疗前列腺癌效果良好,尤其是早期前列腺癌,术后应采取辅助治疗,定期随访更为重要。[ Objective ] Transurthal electro-vaporization and transurthal resection of prostate for prostatic cancer were been discussing. [Methods] Transurthal electro-vaporization and transurthal resection of prostate for prostatic cancer were carried out to relieve bladder outlet obstruction in 19 patients. The patients have been followed up for 6 monthes to 6 years. [Results] IPSS has dropped from (22.9±5.6) to (7.6±15). The maximum flow rate (MFR) has been elevated from 5.6mL/s to 17.8mL/s and the residual urine has been dropped from (130.2±86.4) mL to (12.6± 9.8) mL The weight of prostate tissue resected was 2.8-24g and the mean was (8.26±5.5)g. [Conclusions] The effection was fine which combined transurthal electro-vaporization with transurthal resection of prostate for prostatic cancer, so did early prostatic cancer. It must adopt assistant treatment after operation and it is more important in following up in after-operation.
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