Arch Ital Urol Androl:低风险前列前癌冷冻疗法的肿瘤学和功能的中期结果

2017-07-23 AlexYang MedSci原创

最近,研究人员分析了受低风险前列腺癌影响的并经历前列腺冷冻治疗的病人的肿瘤学和功能结果情况。设计的研究是一个前瞻性的三个中心点的研究,包括了434名患有低风险前列腺癌且经历前列腺冷冻疗法的病人。另外,研究人员通过参考 D'Amico的风险分层进行低风险确定,还根据Onik描述的技术对每一位病人进行了两轮的冻融。研究发现,434名病人的平均年龄为66岁,标准差为±6.68;平均的PSA为6.17ng

最近,研究人员分析了受低风险前列腺癌影响的并经历前列腺冷冻治疗的病人的肿瘤学和功能结果情况。设计的研究是一个前瞻性的三个中心点的研究,包括了434名患有低风险前列腺癌且经历前列腺冷冻疗法的病人。另外,研究人员通过参考 D'Amico的风险分层进行低风险确定,还根据Onik描述的技术对每一位病人进行了两轮的冻融。

研究发现,434名病人的平均年龄为66岁,标准差为±6.68;平均的PSA为6.17ng/d/L,中值为5.55,标准差为±2.13;平均的前列腺体积为35.59cc,中值为34.00cc,标准差为±7.89。生化失败在67名病人中发生(15.4%)。术前阴茎勃起功能干扰如下:重度95名病人(19.2%),中度95名病人(19.2%),适度180名病人(36.4%),轻度92名病人(18.6%)以及没有影响32名病人(6.5%)。术后三个月阴茎勃起功能干扰如下:重度233名病人(47.2%),中度66名病人(13.4%),适度122名病人(24.7%),轻度65名病人(13.2%)以及没有影响8名病人(1.6%)。另外,在术后第三个月,21名病人(4.8%)中发现了尿失禁现象,而术后六个月后,降低到了13名病人(2.9%)。最后,研究人员指出,冷冻疗法在前列腺癌中的治疗可以发生可见的改变。新冷冻器和新诊断方法的使用比如融合磁共振会让冷冻疗法更加精确和有效。

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    2018-05-01 Smile2680
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    2017-07-23 130****4638

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