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26例老年晚期前列腺癌患者并发症的处理
引用本文:邓京平,许进,万奔. 26例老年晚期前列腺癌患者并发症的处理[J]. 中华老年医学杂志, 2005, 24(7): 511-513
作者姓名:邓京平  许进  万奔
作者单位:100730,北京市,卫生部北京医院泌尿外科
摘    要:
目的探讨晚期前列腺癌并发症的治疗方法,以提高治疗水平。方法对26例老年晚期前列腺癌患者分别出现的骨痛、贫血、尿路梗阻、顽固性血尿及下肢和阴囊水肿等并发症分别予多种止痛剂(24例)、博宁(14例)、氯化锶(6例)、外放射(9例)、间断输血(9例)、经尿道前列腺电切术(7例)、耻骨上膀胱穿刺造瘘术(8例)、经皮。肾盂穿刺造瘘术(4例)、经膀胱镜电灼止血(6例)及冲洗引流术(6例)等治疗。结果26例中,10例死亡,16例存活;博宁治疗的14例每次治疗疼痛缓解1~3个月;外放射治疗的9例疼痛缓解期4~6个月;^89Sr治疗的6例每次治疗疼痛缓解约1个月;4例肾盂穿刺造瘘的患者维持4~14个月,血尿素氮及肌酐均无明显增高;接受经尿道前列腺电切术(TURP)治疗的7例排尿症状改善维持3~25个月;贫血的9例经间断输血后血红蛋白维持在90g/L以上;7例下肢水肿的患者治疗后症状部分缓解。结论骨痛、贫血、尿路梗阻、血尿及下肢水肿等是晚期前列腺癌常见的并发症,对患者的生存质量危害极大,应采取综合措施妥善处理。

关 键 词:前列腺癌患者  老年晚期  并发症  经尿道前列腺电切术(TURP)  耻骨上膀胱穿刺造瘘术  晚期前列腺癌  ^89Sr治疗  尿路梗阻  下肢水肿  顽固性血尿  冲洗引流术  外放射治疗  治疗方法  治疗水平  阴囊水肿  血尿素氮  症状改善  血红蛋白
修稿时间:2005-03-07

Improvement of palliative management of the complications in 26 patients with advanced prostate cancer.
DENG Jing-ping,XU Jin,WAN Ben. Improvement of palliative management of the complications in 26 patients with advanced prostate cancer.[J]. Chinese Journal of Geriatrics, 2005, 24(7): 511-513
Authors:DENG Jing-ping  XU Jin  WAN Ben
Abstract:
Objective To improve the management of the complications in patients with advanced prostate cancer. Methods Bone pain, anemia, urinary tract obstruction, hematuria and edema in the lower extremities and scrotum of patients with prostate cancer were managed with analgesics(24 cases), bisphosphonates(14 cases), isotope strontium-89(6 cases), external beam irradiation(9 cases), blood transfusion(9 cases), TURP(7 cases), superpubic cystostomy(8 case), percutaneous nephrostomy(4 case) and cysto-irrigation(6 case). Results 16 patients were alived and 10 were died of respiratory or circulation failure . The patients were relieved from pain and the other complications for several months after the palliative measures had been taken. Conclusions Bone pain, anemia, urinary tract obstruction and hematuria are common complications of advanced prostate cancer. They may have great impact on the life quality of patients. Diverse therapeutic modalities should be employed to palliate these disabling symptoms.
Keywords:Prostatic neoplasms  Hematuria  Anemia  Urethral obstruction
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