论文部分内容阅读
目的 :探讨经尿道电汽化术 (TVP)治疗合并尿潴留的前列腺的疗效。方法 :对 30例合并尿潴留的前列腺癌患者 ,2 0例行TVP治疗 ,10例仅作耻骨上膀胱造瘘术。术后均予以内分泌治疗及 (或 )放射治疗。结果 :术后 1个月 ,TVP组中 10 0 % (2 0 / 2 0 )可自行排尿 ,而膀胱造瘘组中 2 0 % (2 / 10 )可自行排尿。术后 6月时 ,TVP组均可排尿 ,膀胱造瘘组 80 % (8/ 10 )可自行排尿。比较术后 1月和 6月时两组的最大尿流率 (MFR)、国际前列腺症状评分 (IPSS)和前列腺体积均有显著性差异 (P <0 .0 5 )。结论 ;经尿道电汽化术治疗合并尿潴留的前列腺癌 ,可迅速解除膀胱出口梗阻 ,提高患者生存质量。
Objective: To investigate the efficacy of transurethral electrovaporization (TVP) in the treatment of prostate with urinary retention. Methods: Thirty patients with prostate cancer who had urinary retention were treated with 20 TVP and 10 with only suprapubic cystostomy. Endocrine therapy and / or radiotherapy were given after operation. Results: One month after operation, 100% (20/20) of the TVP patients could urinate spontaneously while 20% (2/10) of the bladder ostomy patients could urinate spontaneously. At 6 months after operation, all patients in TVP group were able to urinate and 80% (8/10) in bladder cyst fistula could urinate spontaneously. There were significant differences in MFR, IPSS and prostate volume between January and June after operation (P <0.05). Conclusion; Transurethral electrovaporization for the treatment of prostate cancer with urinary retention can quickly relieve bladder outlet obstruction and improve the quality of life of patients.