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¹²⁵碘植入及盆腔淋巴结清扫术治疗前列腺癌的并发症

Complications of 125iodine implantation and pelvic lymphadenectomy in the treatment of prostatic cancer.

作者信息

Fowler J E, Barzell W, Hilaris B S, Whitmore W F

出版信息

J Urol. 1979 Apr;121(4):447-51. doi: 10.1016/s0022-5347(17)56818-4.

DOI:10.1016/s0022-5347(17)56818-4
PMID:439215
Abstract

The operative, postoperative and late complications experienced by 300 consecutive patients who underwent 125iodine implantation and pelvic lymphadenectomy for localized prostatic cancer were analyzed. Of the patients reviewed 68 per cent had clinical stage B lesions, while 32 per cent had clinical stage C lesions. The incidence of intraoperative complications was 6 per cent. There were 2 postoperative deaths and 23 per cent of the patients had postoperative complications. Of 177 patients followed postoperatively for 6 months or more (mean 29.3 months) late morbidity was experienced by 49 (28 per cent). The incidence of impotence in 109 patients who were potent preoperatively and who were followed for a minimum of 15 months was 7 per cent.

摘要

对300例因局限性前列腺癌接受碘-125植入及盆腔淋巴结清扫术的连续患者所经历的手术、术后及晚期并发症进行了分析。在接受评估的患者中,68%为临床B期病变,32%为临床C期病变。术中并发症发生率为6%。术后有2例死亡,23%的患者有术后并发症。在177例术后随访6个月或更长时间(平均29.3个月)的患者中,49例(28%)出现晚期发病情况。109例术前有性功能且随访至少15个月的患者中,阳痿发生率为7%。

相似文献

1
Complications of 125iodine implantation and pelvic lymphadenectomy in the treatment of prostatic cancer.¹²⁵碘植入及盆腔淋巴结清扫术治疗前列腺癌的并发症
J Urol. 1979 Apr;121(4):447-51. doi: 10.1016/s0022-5347(17)56818-4.
2
Preoperative irradiation, lymphadenectomy and 125iodine implant for patients with localized prostatic carcinoma: a correlation of implant dosimetry with clinical results.局限性前列腺癌患者的术前放疗、淋巴结清扫及碘-125植入:植入剂量测定与临床结果的相关性
J Urol. 1980 Nov;124(5):639-42. doi: 10.1016/s0022-5347(17)55593-7.
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Complications of pelvic lymphadenectomy and retropubic prostatic 125I implantation.盆腔淋巴结清扫术及耻骨后前列腺¹²⁵I植入术的并发症。
Urology. 1979 Sep;14(3):226-9. doi: 10.1016/0090-4295(79)90487-4.
4
Preservation of sexual potency in prostatic cancer patients after pelvic lymphadenectomy and retropubic 125I implantation.盆腔淋巴结清扫术及耻骨后¹²⁵I植入术后前列腺癌患者性功能的保留
J Urol. 1979 May;121(5):621-3. doi: 10.1016/s0022-5347(17)56909-8.
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Preliminary observations on the results of combined 125iodine seed implantation and external irradiation for carcinoma of the prostate.125碘粒子植入联合外照射治疗前列腺癌疗效的初步观察
J Urol. 1982 Apr;127(4):699-701. doi: 10.1016/s0022-5347(17)54001-x.
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Clinical results of early stage prostatic cancer treated by pelvic lymphadenectomy and 125iodine implants.盆腔淋巴结清扫术联合碘-125植入治疗早期前列腺癌的临床结果
J Urol. 1982 May;127(5):923-7. doi: 10.1016/s0022-5347(17)54133-6.
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Radiation therapy and pelvic node dissection in the management of cancer of the prostate.放射治疗及盆腔淋巴结清扫术在前列腺癌治疗中的应用
Am J Roentgenol Radium Ther Nucl Med. 1974 Aug;121(4):832-8. doi: 10.2214/ajr.121.4.832.
8
Complication of 125 iodine implantation and pelvic lymphadenectomy for prostatic cancer with special reference to patients who had failed external beam therapy as their initial mode of therapy.前列腺癌125碘植入及盆腔淋巴结清扫术的并发症,特别提及那些最初接受外照射治疗失败的患者。
J Urol. 1981 Nov;126(5):620-2. doi: 10.1016/s0022-5347(17)54656-x.
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Interstitial irradiation of carcinoma of the prostate with 125iodine and simultaneous extraperitoneal pelvic lymphadenectomy in 32 patients: trials, tribulations and possible triumphs.32例前列腺癌患者采用125碘间质照射及同期腹膜外盆腔淋巴结清扫术:试验、困难与可能的成功
J Urol. 1981 Sep;126(3):366-71. doi: 10.1016/s0022-5347(17)54529-2.
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Perioperative and postoperative complications from bilateral pelvic lymphadenectomy and radical retropubic prostatectomy.双侧盆腔淋巴结清扫术及耻骨后根治性前列腺切除术的围手术期及术后并发症
J Urol. 1987 Jun;137(6):1189-91. doi: 10.1016/s0022-5347(17)44445-4.

引用本文的文献

1
I-125 implant of the prostate: a new technique.前列腺碘-125植入:一种新技术。
J Natl Med Assoc. 1981 Feb;73(2):121-3.
2
Sexual functioning morbidity among cancer survivors. Current status and future research directions.癌症幸存者的性功能发病率。现状与未来研究方向。
Cancer. 1985 Apr 15;55(8):1835-42. doi: 10.1002/1097-0142(19850415)55:8<1835::aid-cncr2820550832>3.0.co;2-k.
3
Prostatic carcinoma.前列腺癌
Br Med J (Clin Res Ed). 1985 Jun 15;290(6484):1824-5. doi: 10.1136/bmj.290.6484.1824-a.
4
Therapeutic role of pelvic lymphadenectomy in carcinoma of the prostate: own experiences.盆腔淋巴结清扫术在前列腺癌治疗中的作用:自身经验
Int Urol Nephrol. 1987;19(3):315-9. doi: 10.1007/BF02549869.
5
Iodine 125 interstitial irradiation for localized prostate cancer.碘125间质照射治疗局限性前列腺癌。
J Natl Med Assoc. 1990 Mar;82(3):181-93.