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目的回顾性分析国内外报道的前列腺囊腺瘤病例,探讨前列腺囊腺瘤的临床特点及诊断治疗。方法通过计算机检索1988年至2014年Pub Med、MEDLINE、中国生物医学文献数据库、中国期刊全文数据库、万方数据库等。英文检索词为prostatic cystadenoma、PC、neoplasm、clinical symptoms、prognosis、diagnose、treatment、imageology等,中文检索词为前列腺囊腺瘤、临床症状、预后、诊断、治疗、影像学等。结果共检索国外文献22篇,国内文献8篇,患者年龄为15~80岁;症状以排尿困难为主;前列腺特异性抗原(PSA)多升高,也可正常;CT、MRI表现为多房囊性改变;治疗方法多样,手术彻底切除有望治愈该病。结论对于前列腺合并囊肿的患者,术前穿刺部位经会阴途径可以有效避免脓肿的形成。
Objective To retrospectively analyze the cases of prostate cystadenoma reported at home and abroad and explore the clinical features and diagnosis and treatment of cystadenoma of the prostate. Methods The databases of Pub Med, MEDLINE, China Biomedical Literature Database, Chinese Journal Full-text Database, Wanfang Database and so on were searched by computer. The English terms are prostatic cystadenoma, PC, neoplasm, clinical symptoms, prognosis, diagnose, treatment, imageology, etc. The Chinese term is prostate cystadenoma, clinical symptoms, prognosis, diagnosis, treatment, imaging and so on. Results There were 22 foreign literatures and 8 domestic literatures. The patients were 15 to 80 years old. The main symptoms were dysuria. Prostate-specific antigen (PSA) was elevated and normal. CT and MRI showed multiple rooms Cystic changes; treatment of diverse surgical thorough excision is expected to cure the disease. Conclusion For patients with prostate cysts, preoperative puncture site by the perineal approach can effectively prevent the formation of abscess.