实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
5期
127-129
,共3页
郭道宁%漆家高%刘强%辛宇鹏%范俊%邹晓攀
郭道寧%漆傢高%劉彊%辛宇鵬%範俊%鄒曉攀
곽도저%칠가고%류강%신우붕%범준%추효반
经直肠超声%125 I 粒子植入%前列腺癌%急性尿潴留%危险因素
經直腸超聲%125 I 粒子植入%前列腺癌%急性尿潴留%危險因素
경직장초성%125 I 입자식입%전렬선암%급성뇨저류%위험인소
Transrectal ultrasound%125 I particle implantation%Prostate cancer%Acute urinary retention%Risk factors
目的：探讨直肠超声（transrectal ultrasonography，TRUS）引导下经直肠途径植入125 I 粒子治疗前列腺癌术后并发的急性尿潴留及其影响因素。方法298例前列腺癌患者，在 TRUS 引导下经直肠途径植入125 I 粒子，术后随访穿刺相关并发症及临床疗效，分析年龄、肿瘤分期、术前前列腺特异性抗原（PSA）、Gleason 评分、国际前列腺评分（IPSS）、前列腺体积、中叶增大、突入膀胱、穿刺针数和植入的粒子数等对术后急性尿潴留的影响。结果术后1～7d 出现急性尿潴留19例（6．4％），经导尿2～5 d 后拨管无再次发生；术后急性尿潴留与前列腺体积、突入膀胱有关（P ＝0．001；P ＝0．041）。结论TRUS 引导经直肠途径125 I 粒子植入治疗前列腺癌术后并发急性尿潴留较少、较轻微，前列腺体积、突入膀胱是术后急性尿潴留的主要影响因素。
目的：探討直腸超聲（transrectal ultrasonography，TRUS）引導下經直腸途徑植入125 I 粒子治療前列腺癌術後併髮的急性尿潴留及其影響因素。方法298例前列腺癌患者，在 TRUS 引導下經直腸途徑植入125 I 粒子，術後隨訪穿刺相關併髮癥及臨床療效，分析年齡、腫瘤分期、術前前列腺特異性抗原（PSA）、Gleason 評分、國際前列腺評分（IPSS）、前列腺體積、中葉增大、突入膀胱、穿刺針數和植入的粒子數等對術後急性尿潴留的影響。結果術後1～7d 齣現急性尿潴留19例（6．4％），經導尿2～5 d 後撥管無再次髮生；術後急性尿潴留與前列腺體積、突入膀胱有關（P ＝0．001；P ＝0．041）。結論TRUS 引導經直腸途徑125 I 粒子植入治療前列腺癌術後併髮急性尿潴留較少、較輕微，前列腺體積、突入膀胱是術後急性尿潴留的主要影響因素。
목적：탐토직장초성（transrectal ultrasonography，TRUS）인도하경직장도경식입125 I 입자치료전렬선암술후병발적급성뇨저류급기영향인소。방법298례전렬선암환자，재 TRUS 인도하경직장도경식입125 I 입자，술후수방천자상관병발증급림상료효，분석년령、종류분기、술전전렬선특이성항원（PSA）、Gleason 평분、국제전렬선평분（IPSS）、전렬선체적、중협증대、돌입방광、천자침수화식입적입자수등대술후급성뇨저류적영향。결과술후1～7d 출현급성뇨저류19례（6．4％），경도뇨2～5 d 후발관무재차발생；술후급성뇨저류여전렬선체적、돌입방광유관（P ＝0．001；P ＝0．041）。결론TRUS 인도경직장도경125 I 입자식입치료전렬선암술후병발급성뇨저류교소、교경미，전렬선체적、돌입방광시술후급성뇨저류적주요영향인소。
Objective To explore the influence factors of acute urinary retention after 125 I particles implantation via a rectal way guided by transrectal ultrasonography (TRUS).Methods Two hundred and ninety-eight patients with prostate cancer were implan -ted with 125 I particles via a rectal way under the TRUS.The clinical efficacy and related complications after operation were followed -up to analyze the effects of age,tumor stage,preoperative PSA,Gleason score,IPSS score,prostate volume,increased middle lobes of the prostate,protruding into bladder,number of puncture and number of implanted particles on the postoperative acute urinary retention .Re-sults There were 19 cases(6.4%) suffered from acute urinary retention after 1 to 7 days of operation.However,no recurrence was found after treatment with urethral catheterization for 2 ~5 days.Postoperative acute urinary retention was associated with prostate vol -ume and protruding into the bladder (P=0.001 and P=0.041,respectively).Conclusion The acute urinary retention occurs less and mild after 125 I particles implantation via the rectal way guided by TRUS in the treatment of prostate cancer .The prostate volume and pro-truding into bladder are the main influence factors of acute urinary retention after operation .
