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目的:探讨合并下尿路梗阻的晚期前列腺癌的治疗方法。方法:回顾性分析苏州大学第一附属医院收治的13例晚期前列腺癌病例。结果:首次治疗均选择内分泌治疗,其中9例拔除尿管后可自行排尿,6个月后有2例仍有反复的尿潴留,予行TURP。结论:对于伴有下尿路梗阻的晚期前列腺癌患者,内分泌治疗可明显改善尿路梗阻等症状,控制前列腺癌进展,3~6个月后梗阻情况未改善者,可再行TURP解除下尿路梗阻。
Objective: To explore the treatment of advanced prostate cancer with lower urinary tract obstruction. Methods: A retrospective analysis of the First Affiliated Hospital of Suzhou University admitted to 13 cases of advanced prostate cancer. Results: The first treatment were selected endocrine therapy, of which 9 cases of urinary catheter removed after urination, 6 months after 2 cases there are still repeated urinary retention, TURP. Conclusion: For patients with advanced prostate cancer with lower urinary tract obstruction, endocrine therapy can significantly improve the symptoms of urinary tract obstruction and control the progression of prostate cancer. After 3 to 6 months, the obstruction has not been improved, Road obstruction.