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经会阴前列腺癌冷冻治疗的并发症及其防治 被引量:3

Complications of Cryosurgical Ablation and Their Prevention and Treatment for Prostate Cancer
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摘要 目的:探讨超声引导下经会阴前列腺癌靶向冷冻治疗的并发症及其防治。方法:对58例前列腺癌患者行超声引导下经会阴冷冻治疗,通过临床观察,分析其治疗后的并发症及原因,并总结防治措施。结果:尿失禁3~7天后恢复控尿16例(27.6%);永久尿失禁2例(3.4%);原有性交能力者18例中,术后出现勃起功能障碍1 2例(66.7%);产生尿道腐肉3例(5.2%);尿道直肠瘘、尿潴留、会阴部不适以及阴囊水肿各1例(1.7%)。结论:超声引导下经会阴前列腺癌靶向冷冻治疗的并发症发生率较低,且多数是可以预防和治疗的。 Objective:To investigate the complications of transrectal ultrasound guided percutaneous cryosurgical ablation for prostate cancer (CSAP) and their prevention and treatment. Methods:The data of 58 patients who were diagnosed with prostate cancer were summarized. The causes of the complications occurring after the (;SAP treatment, and their prevention and treatment were evaluated. Results.. 16 cases(27.6% )had temporary incontinence for 3 -7 d; 2 cases(3.4 %) developed perpetual incontinence. Before operation 18 cases were potent, and among them 12 cases (66.7% )had erectile dysfunction after operation. 3 cases developed urethral sloughing(5.2%). Other complications were urethrorectal fistula ( 1.7 % ), urinary retention ( 1.7% ), perineal pain ( 1.7 % ) and scrotal oedema ( 1.7 % ). Conclusions: The rate of complications of transrectal ultrasound-guided pereutaneous cryosurgical ablation for clinically prostate cancer is low and most complications can be prevented and cured.
出处 《临床泌尿外科杂志》 北大核心 2010年第1期24-26,共3页 Journal of Clinical Urology
基金 江苏省自然科学基金资助(编号BK200860)
关键词 前列腺癌 冷冻外科 并发症 prostate cancer cryosurgery complication
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