晚期前列腺癌的诊断与综合治疗探讨（附56例报告）  

Diagnosis and comprehensive treatment of advanced prostatic cancer （ report of 56 cases）

作　　者：杨荣权[1] 蔡勇[1] 余兆雄[1] 廖泽明[1] 李壮志[1] 

机构地区：[1]湖北省荆门市第一人民医院泌尿外科,448000

出　　处：《临床外科杂志》2011年第6期419-420,共2页Journal of Clinical Surgery

摘　　要：目的提高晚期前列腺癌的诊断和治疗水平。方法回顾性分析我院于2005年1月至2010年6月采用睾丸切除、内分泌、化疗、放疗和前列腺电切术等综合治疗56例晚期前列腺癌患者的资料。结果48例患者获得3个月至3年随访，8例死亡。术后患者排尿不畅、尿频、尿急症状改善，下尿道梗阻情况得到明显缓解，血清前列腺特异性抗原迅速降低，骨痛缓解。结论积极的综合治疗能缓解晚期前列腺癌患者的临床症状，提高生活质量，延长生命。Objective To improve the diagnosis and treatment of advanced prostatic cancer. Methods The clinical data of 56 cases of late stage prostatic cancer were retrospectively reviewed. All the patients underwent complex therapy including testicle excision, endocrine therapy, chemotherapy, radiotherapy, prostatectomy and so on between Jan. 2005 and Jun. 2010. Results Forty - eight cases were followed up for 3 months to 3 year and the other 8 cases died. Postoperative symptoms such as difficulty of micturition, frequency and urgency were improved; Obstruction of bladder outlet was significantly relieved; Pros- tate specific antigen（PSA） was decreased quickly; And bone pain was relieved. Conclusion Active comprehensive treatment can ease the clinical symptoms, improve the life quality and prolong the surviving time of patients with advanced prostatic cancer.

关 键 词：晚期前列腺癌 前列腺电切术 睾丸切除术 

分 类 号：R737.25[医药卫生—肿瘤]