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生活质量:前列腺癌根治性前列腺切除术与放射治疗的比较

Quality of life: radical prostatectomy versus radiation therapy for prostate cancer.

作者信息

Lim A J, Brandon A H, Fiedler J, Brickman A L, Boyer C I, Raub W A, Soloway M S

机构信息

Department of Urology, University of Miami School of Medicine, Florida, USA.

出版信息

J Urol. 1995 Oct;154(4):1420-5. doi: 10.1016/s0022-5347(01)66881-2.

DOI:10.1016/s0022-5347(01)66881-2
PMID:7658548
Abstract

PURPOSE

The impact of radical prostatectomy and external beam radiotherapy on the quality of life of patients was compared.

MATERIALS AND METHODS

A total of 136 patients underwent radical prostatectomy and 60 underwent external beam radiotherapy for clinically localized prostate cancer. Patients were asked to complete a questionnaire containing The Functional Living Index: Cancer, the Profile of Moods States, and a series of questions evaluating bladder, bowel and sexual function.

RESULTS

The radical prostatectomy group had worse sexual function and urinary incontinence, while the external beam radiotherapy group had worse bowel function. Of the patients 90% from both groups stated that they would undergo the treatment again.

CONCLUSIONS

Radical prostatectomy and external beam radiotherapy have comparable impact upon quality of life.

摘要

目的

比较根治性前列腺切除术和外照射放疗对患者生活质量的影响。

材料与方法

共有136例患者接受了根治性前列腺切除术,60例患者因临床局限性前列腺癌接受了外照射放疗。患者被要求完成一份问卷,其中包括癌症功能生活指数、情绪状态量表以及一系列评估膀胱、肠道和性功能的问题。

结果

根治性前列腺切除术组的性功能和尿失禁情况较差,而外照射放疗组的肠道功能较差。两组中90%的患者表示他们会再次接受该治疗。

结论

根治性前列腺切除术和外照射放疗对生活质量的影响相当。

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