董穗生,汪柏林
Dong Huisheng;et al Department of Urosurgery;

• 1:贵阳医学院附院泌尿外科

摘要(Abstract)：

临床诊断和治疗前列腺癌４０例，就诊时多为中晚期。３０例测定血清前列腺酸性磷酸酶（ＰＡＰ），２８例测定前列腺特异性抗原（ＰＳＡ），阳性率分别为５７％和８２１％，１９例病人作前列腺癌经直肠前壁穿刺抽吸活检细胞学检查。ＰＡＰ和ＰＳＡ对判断肿瘤分期、监测病情的发展和疗效有较大的临床价值，前列腺癌的细胞学检查，对前列腺癌的诊断，特别是早期前列腺癌的诊断及分级判断预后有重要的价值。随访４０例经内分泌治疗、双侧睾丸切除术、雌激素治疗等，疗效均在７０％以上，对５例早期前列腺癌作手术切除前列腺疗效较好。前列腺癌的死因主要是癌肿早期转移、梗阻性肾病。
From February 1990 to February 1997,40 cases with the cancer of prostate were diagnosed and treated, the mean age of them waas 70.1 yrs and most of them were mid or end stage of the cancer when they were in hospital. 30 cases were measured serum PAP and 28 cases measured PSA, the positive rate of them were 75% and 82.1% respctively. 19 cases were taken fine needle aspiration biopsy from anterior wall of rectum. PAP and PSA had more clinical value for stages of cancer, mornitoring the development of patient's condition and curative effect. Cytological examination of the cancer of prostate had more important value for diagnosis, especially for diagnosis at early stage and the classification of the cancer. 40 cases treated by biorchiectomy and estrogen were follow-up, the effective rate was over 70%. 5 cases of the cancer at early stage were made on operation and had more curative effect. The main causes of death of the cancer were bone metastasis and obstructive nephropathy.

关键词(KeyWords)： 前列腺疾病,癌,酸性磷酸酶,抗原
prostatic diseases; carcinoma; acid phosphatase;antigens

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 董穗生,汪柏林
Dong Huisheng;et al Department of Urosurgery;

DOI: 10.19367/j.cnki.1000-2707.1998.02.013

参考文献(References)：

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