论文部分内容阅读
目的探讨经会阴前列腺癌根治术的方法在治疗局限性前列腺癌的临床应用价值。方法本组16例,年龄61～73岁,均经直肠前列腺穿刺活检病理确诊为前列腺癌,Gleason评分2～7分,临床分期T_1期5例,T_(2a)6例,T_(2b)5例。本组16例术前均经肝脏B超、胸部X片、全身ECT骨扫描、盆腔MIR检查未发现转移。手术为经会阴前列腺癌根治术。术后随访11～26个月。结果本组16例均无直肠损伤和尿失禁等严重并发症,术后留置导尿管10～14d,术后病理无切缘阳性,随访至第13个月,1例因心脏疾病死亡,其余15例均无复发转移,大便控制良好,原有性功能者11例,10例术后均能维持勃起,1例使用“万艾可”后保有性功能。讨论对于早期局限性前列腺癌患者,经会阴前列腺癌根治术是一种相对安全有效的手术方式。
Objective To investigate the clinical value of transrectal prostatectomy for the treatment of localized prostate cancer. Methods Totally 16 patients (aged 61-73 years old) were diagnosed as prostate cancer by pathology of rectal prostatic biopsy. The Gleason score was 2 to 7, including 5 cases of T 1, 6 cases of T 2 a, T 2 b 5 example. The group of 16 patients were preoperative liver B ultrasound, chest X-ray, whole body ECT bone scan, pelvic MIR examination found no metastasis. Surgery for the perineal radical prostatectomy. Postoperative follow-up 11 to 26 months. Results The group of 16 patients had no serious complications such as rectal injury and urinary incontinence. The postoperative urethral catheter was placed for 10-14 days. No pathologic margins were found after operation. All patients were followed up until the 13th month. One died of heart disease and the rest All 15 cases had no recurrence and metastasis, and the control of stool was good. Eleven patients with original sexual function and 10 cases were able to maintain erection after operation and one case had sexual function after using “Viagra”. Discussion For patients with localized localized prostate cancer, trans-perineal radical prostatectomy is a relatively safe and effective procedure.