对高危前列腺癌患者进行腹腔镜下前列腺癌根治术和内分泌辅助治疗的效果观察

To observe the effect of laparoscopic radical resection and endocrine adjuvant therapy for high-risk prostate cancer patients

目的 :探讨对高危前列腺癌患者进行腹腔镜下前列腺癌根治术和内分泌辅助治疗的临床效果。方法 :将近年内简阳市人民医院收治的106例高危前列腺癌患者作为研究对象。将这106例患者随机平均分为对照组和观察组。对对照组患者进行开放式根治性前列腺切除术。对观察组患者进行腹腔镜下前列腺癌根治术和内分泌辅助治疗。然后,比较两组患者手术的各项指标,其治疗的总有效率及其1年后病情的复发率。结果 :与对照组患者相比,观察组患者术中出血量更少,其手术的时间及肠功能恢复的时间均更短,其治疗的总有效率更高,其1年后病情的复发率更低,P <0.05。结论 :对高危前列腺癌患者进行腹腔镜下前列腺癌根治术和内分泌辅助治疗的效果显著,且安全性高。

objective： to explore the clinical effect of laparoscopic radical resection of prostate cancer and endocrine adjuvant therapy for high-risk prostate cancer patients. Methods： 106 high-risk prostate cancer patients admitted by people＇s hospital of jianyang city were studied in recent years. The 106 patients were randomly divided into a control group and an observation group. Open radical prostatectomy was performed on the control group. The patients in the observation group were treated with laparoscopic radical resection of prostate cancer and endocrine adjuvant therapy. Then, the total effective rate of treatment and the recurrence rate after 1 year were compared between the two groups. Results： compared with the control group, the patients in the observation group had less intraoperative blood loss, shorter operative time and bowel function recovery time, higher overall therapeutic efficiency, and lower recurrence rate after 1 year, P 0.05. Conclusion： laparoscopic radical prostatectomy and endocrine adjuvant therapy for high-risk prostate cancer patients are effective and safe.