经尿道前列腺电汽化术联合间歇性雄激素阻断治疗晚期前列腺癌

Treatment of Prostate Cancer with TUVP and IAB

目的提高合并有明显尿路梗阻的晚期前列腺癌病人的生存质量。方法2002年3月～2005年6月34例确诊为合并明显尿路梗阻的晚期前列腺癌病例，同时采取经尿道前列腺电汽化（TUVP）联合间歇性雄激素阻断治疗（IAB）。结果34例手术一次成功，术后3个月随访，最大尿流率平均（16±3．1）ml，残余尿量平均（13．5±2．2）ml，血清PSA值平均（7．1±2．2）ng／ml。未出现严重并发症。结论经尿道前列腺电汽化术联合间歇性雄激素阻断能提高合并有明显尿路梗阻的晚期前列腺癌患者的生存质量。

Objective To explore how to improve the treatment of prostate cancer and obstruction of the urinary tract . Methods From March 2002 to June 2005, thirty-four patients with prostate cancer and obstruction of the urinary tract were treated using TUVP and TAB. Results All 34 cases were cured in one time. Followed up for 3 months, the average of maximum of uroflowmetry was （16 ± 3.1）ml, the average of residual urine was （13.5 ±2. 2） ml, and average of PSA was （7.1 ± 2.2）ng/ml. There were no serious complications observed. Conclusion TURP and TAB can improve the life quality of patients with prostatic cancer and obstruction of the urinary tract .