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目的探讨耻骨后前列腺癌根治术的手术效果,并总结其经验。方法对32例诊断为B1期及B2期的前列腺癌患者行耻骨后前列腺癌根治术。结果平均手术时间3.4h,术中平均出血量560ml。术后3个月PSA、术后6个月最大尿流率、平均尿流率、剩余尿及前列腺症状评分与术前比较差异有统计学意义(P<0.05)。术后病理报告:肿瘤均局限于包膜内。随访6～24个月,平均14个月,均存活。无直肠、输尿管损伤,无完全性尿失禁及手术死亡发生。术后1～2个月患者均恢复完全控尿。术后51.9%恢复勃起功能。结论耻骨后前列腺癌根治术是局限性前列腺癌的首选治疗方法,充分的术前准备和术后严密随访有利于提高生存率。
Objective To investigate the surgical effect of radical retropubic prostatectomy and to summarize its experience. Methods Thirty-two patients with prostate cancer diagnosed as stage B1 and stage B2 underwent radical prostatectomy. Results The average operation time was 3.4h, the average amount of intraoperative bleeding was 560ml. At 3 months postoperatively, PSA, maximal uroflow rate, mean urinary flow rate, residual urine and prostate symptom scores at 6 months after operation were significantly different from those before operation (P <0.05). Postoperative Pathology Report: The tumors were confined to the capsule. All cases were followed up for 6-24 months with an average of 14 months. All survived. No rectum, ureteral injury, no complete urinary incontinence and surgical death occurred. Patients were completely regained urine 1 to 2 months after surgery. 51.9% postoperative recovery erectile function. Conclusions Radical suprapubular radical prostatectomy is the preferred treatment for localized prostate cancer. Adequate preoperative preparation and close follow-up are beneficial to improve survival rate.