经尿道前列腺汽化电切术与经尿道前列腺切除术联合治疗伴膀胱出口梗阻的前列腺癌
[Combined use of TUVP and TURP for prostate cancer with bladder outlet obstruction].
作者信息
Yang Guan-tian, Yao Mao-yin, Yang Jian-jun, Yuan Zhang, Liu Jing, Huo Ming-dong, Zhang Xiao-wen
机构信息
Department of Urology, Zhongda Hospital, Southeast University, Nanjing, Jiangsu 210009, China.
出版信息
Zhonghua Nan Ke Xue. 2005 Jul;11(7):523-5.
OBJECTIVE
To investigate a new surgical method for the treatment of prostate cancer with bladder outlet obstruction.
METHODS
Forty-seven patients with prostate cancer complicated with bladder outlet obstruction were treated by combined use of transurethral electrovaporization ablation of the prostate (TUVP) and transurethral resection of the prostate (TURP).
RESULTS
The operations were successful, with satisfactory results and no serious complication. IPSS decreased from (26.5 +/- 4.8) pre-operatively to (8.5 +/- 2.2) post-operatively (P < 0.05); Qmax increased from (4.6 +/- 1.5) ml/s to (14.5 +/- 3.6) ml/s (P < 0.05); and PSA decreased from (58.1 +/- 7.2) microg/L to (3.6 +/- 1.8) microg/L (P < 0.01).
CONCLUSION
The combined use of TUVP and TURP is a safe and ideal method for the treatment of prostate cancer with bladder outlet obstruction.
目的
探讨一种治疗伴有膀胱出口梗阻的前列腺癌的新手术方法。
方法
对47例伴有膀胱出口梗阻的前列腺癌患者联合应用经尿道前列腺电汽化切除术（TUVP）和经尿道前列腺切除术（TURP）进行治疗。
结果
手术成功，效果满意，无严重并发症。国际前列腺症状评分（IPSS）由术前的（26.5±4.8）降至术后的（8.5±2.2）（P<0.05）；最大尿流率（Qmax）由术前的（4.6±1.5）ml/s增至术后的（14.5±3.6）ml/s（P<0.05）；前列腺特异抗原（PSA）由术前的（58.1±7.2）μg/L降至术后的（3.6±1.8）μg/L（P<0.01）。
结论
TUVP与TURP联合应用是治疗伴有膀胱出口梗阻的前列腺癌的一种安全、理想的方法。
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