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探讨晚期前列腺癌致后尿道梗阻的治疗方法,报告晚期前列腺癌致后尿道梗阻10例,其中2例作了经尿道前列腺切除术(TURP),8例作了经尿道Nd:YAG激光(接触式)前列腺切除术(TULP),同时联合内分泌治疗。经症状评分、残余尿量、尿流率等项指标进行术前术后对比观察,疗效满意。认为TULP或TURP对晚期前列腺癌致后尿道梗阻乃是一种安全、可靠的姑息性治疗方法,不但可以有效的减少因尿路梗阻而导致的并发症,而且也提高了患者的生活质量,为继续内分泌治疗创造了有利条件。关键词
To investigate the treatment of advanced urethral obstruction caused by advanced prostate cancer. Ten cases of posterior urethral obstruction caused by prostate cancer were reported. TURP was performed in 2 cases and transurethral Nd: YAG laser in 8 cases ) Prostatectomy (TULP), combined with endocrine therapy. After symptom score, residual urine volume, urine flow rate and other indicators of preoperative and postoperative comparison, the effect is satisfactory. It is believed that TULP or TURP is a safe and reliable palliative treatment for advanced urethral obstruction of advanced prostate cancer. It not only can effectively reduce the complications caused by urinary tract obstruction, but also improves the quality of life of patients Endocrine therapy continued to create favorable conditions. Key words