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本文报告前列腺癌50例,诊断强调直肠指诊、穿刺活检、B超、CT及血清酶升高。综合分析本组A期13例,B期17例,C期11例,D期9例。随访到46例中,作单纯性前列腺切除术21例,术后排尿通畅,无尿痛及尿频20例(43.5％);根治性手术9例,5例(55.55％)排尿尚通畅;单纯前列腺切除术加去势术4例,排尿尚通畅;去势术加膀胱造瘘术7例、腺体肿瘤缩小60％以上5例(71.43％);D期9例,经内分泌治疗有7例肿瘤明显缩小(15.21％)。本组治疗总有效率达84.77％。
This article reports 50 cases of prostate cancer, the diagnosis emphasizes digital rectal examination, biopsy, B ultrasound, CT and serum enzymes. A comprehensive analysis of the group A in 13 cases, B in 17 cases, C in 11 cases, D in 9 cases. Followed up to 46 cases, 21 cases were treated by simple prostatectomy. The postoperative urination was smooth and no dysuria and frequent urination occurred in 20 cases (43.5%). The radical operation was performed in 9 cases and in 5 cases (55.55% Excision plus castration in 4 cases, urination was still smooth; castration surgery plus cystostomy in 7 cases, gland tumors reduced by 60% or more in 5 cases (71.43%); D period in 9 cases, endocrine therapy in 7 cases of tumor Significantly reduced (15.21%). The total effective rate of this group of 84.77%.