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耻骨后前列腺癌根治术减少并发症的探讨(附16例报告)
引用本文:陈炜,陈凌武,丘少鹏,梅骅,李晓飞,戴宇平,邓春华. 耻骨后前列腺癌根治术减少并发症的探讨(附16例报告)[J]. 中华泌尿外科杂志, 2004, 25(2): 100-102
作者姓名:陈炜  陈凌武  丘少鹏  梅骅  李晓飞  戴宇平  邓春华
作者单位:510080,广州,中山大学附属第一医院泌尿外科
摘    要:目的 探讨耻骨后前列腺癌根治术保留耻骨前列腺韧带及耻骨直肠悬带等对术后并发症的影响。 方法 对 16例前列腺癌患者 (平均年龄 67岁 ,B期 14例 ,C期 2例 )实施了耻骨后前列腺根治术 ,术中保留耻骨前列腺韧带及耻骨直肠悬带。 结果  16例患者手术顺利 ,随访 1~ 4年 ,无长期尿失禁及排尿困难 ,6例保留睾丸者术后 4例恢复了性功能 ,9例患者PSA保持在 0ng/ml,7例PSA <0 .0 5ng/ml,16例均存活。 结论 耻骨后前列腺根治术中保留耻骨前列腺韧带及耻骨直肠悬带有助于减少并发症 ,取得较好的手术效果

关 键 词:前列腺肿瘤    前列腺切除术  并发症
修稿时间:2003-03-15

Study on reduction of complications in radical retropubic prostatectomy
CHEN Wei,CHEN Ling-wu,QIU Shao-peng,et al.. Study on reduction of complications in radical retropubic prostatectomy[J]. Chinese Journal of Urology, 2004, 25(2): 100-102
Authors:CHEN Wei  CHEN Ling-wu  QIU Shao-peng  et al.
Affiliation:CHEN Wei,CHEN Ling-wu,QIU Shao-peng,et al .Department of Urology,First Affiliated Hospital of Sun Yat-sen University,Guan gzhou 510080,China
Abstract:Objective To determine the effects of pub op rostatic ligament and puborectalis sling sparing on postoperative complicationgs after radical retropubic prostatectomy. Methods A total of 16 men(mean age 67,stage B 14 cases,stage C 2 cases) with clinically prostat e cancer were managed with radical retropubic prostatectomy.Puboprostatic ligame nt and puborectalis sling sparing technique were used in all patients. Results All patients recovered from the operation.During 1 to 4 y ears,follow-up,none had long term incontinence or dysuria.PSA declined to 0.00 ng/ml and stayed 0.00 ng/ml in 9 cases within follow-up period.PSA were bellow <0.05 ng/ml in other 7 cases.16 patients were survived. Conclusions According to correct anatomic manipulation, preserving puboprostati c ligament and puborectalis sling in performing radical retropubic prostatectomy will achieve better outcome.
Keywords:Prostatic neoplasms  Carcinoma  Prostatec tomy  Complications
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