前列腺电汽化术联合双侧睾丸切除术在治疗前列腺癌中的临床观察  

Clinical observation of TUVP combined bilateral testicular resection in the treatment of prostate cancer

作　　者：任承德[1] 

机构地区：[1]青海大学附属医院泌尿外科,青海西宁810001

出　　处：《现代预防医学》2013年第7期1377-1378,共2页Modern Preventive Medicine

摘　　要：目的探讨前列腺电汽化术联合双侧睾丸切除术在晚期前列腺癌中的临床效果。方法回顾性分析某院自2006年采用前列腺电汽化术联合双侧睾丸切除术治疗晚期前列腺癌患者,总结并分析治疗前后尿流动力学及血清PSA变化。结果术后3个月进行患者尿流动力学及血清水平情况明显改善,手术治疗后最大尿流率(MFR)、平均尿流率(AFR)和残余尿(ARV)与手术前相比差异有统计学意义(P﹤0.05)。术前、术后3个月复查血前列腺特异性抗原(PSA)水平差异有统计学意义(P﹤0.05)。结论在晚期前列腺癌伴随尿路梗阻患者的治疗中,前列腺电汽化术联合双侧睾丸切除术同时给予雄激素阻断治疗可明显改善患者生活质量,延缓病情的进展。OBJECTIVE To study clinical effect of TUVP combined with bilateral testicular resection in advanced prostate cancer. METHODS A retrospective analysis of our hospital since 2006 was conducted to investigate TUVP combined with bilateral testicular resection in the treatment of advanced prostate cancer patients before and after treatment, the summary and analysis of urodynamic and change of serum PSA. RESULTS 3 months after operation, urodynamic and serum levels of patients improved significantly after treatment, maximum urinary flow rate （M FR） after operation the differences in average urinary flow rate （A FR） and residual urine （ARV） before and after operation had significant differences （P﹤0.05）. Before surgery, 3 months after surgery, differences in serum prostate specific antigen （PSA） level had obvious statistical significance （P﹤0.05）. CONCLUSION In advanced prostate cancer with urinary tract obstruction patients, electrovaporization of the prostate combined with bilateral testicular resection while giving androgen blockade therapy can significantly improve the quality of life of patients, delay disease progression.

关 键 词：前列腺电汽化术 双侧睾丸切除术 前列腺癌 临床观察 

分 类 号：R737.25[医药卫生—肿瘤]