摘要
目的 探讨经会阴前列腺癌根治术的初步经验。方法 对2例TMN分期为T2aN0M0、T2cN0M0期的前列腺癌患者施行经会阴前列腺癌根治术，观察并记录手术时间、术中出血量、术后尿管拔除时间、尿控恢复情况等临床数据。 结果 2例手术均获得成功，无一例中转耻骨后前列腺癌根治术。两例手术手术时间分别为175 min、140 min，术中出血量分别为200 ml、150 ml，术后第7日行膀胱尿道造影检查，排除吻合口瘘后，拔除导尿管，术后病理报告前列腺包膜完整，切缘阴性。随访3个月，尿控恢复良好。 结论 经会阴前列腺癌根治术在控制肿瘤和尿控方面有显著优势，是一种安全有效的前列腺癌的治疗方法。
Abstract
Objectives To present the initial experience of perineal radical prostatectomy in the treatment of local prostate cancer. Methods Two patients with local prostate cancer (T2a and T2c) received perineal radical prostatectomy, operative time, blood loss, catheter removal period, urinary continence were recorded. Results All 2 cases were completed successfully without conversion into retroperitoneal surgery. Operative time and blood loss were 175min and 200ml, 140min and 150ml for 2 patients, respectively. Cystography was take place on 7th day postoperatively and urinary catheter was removed after the exclusive of leakage. Pathological report indicated integrate prostate specimen and negative surgical margin. After 3-week follow-up, urine continence was excellent. Conclusion Perineal radical prostatectomy is safe and feasible and has a great advantage upon disease control and recovery of urinary continence.
胡成，黄文涛，王德娟，邱剑光.
经会阴前列腺癌根治术二例报告并文献复习[J]. 新医学, 2013, 44(1): 73
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