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目的:探讨超声引导下经会阴前列腺癌靶向冷冻治疗的并发症及其防治。方法:对58例前列腺癌患者行超声引导下经会阴冷冻治疗,通过临床观察,分析其治疗后的并发症及原因,并总结防治措施。结果:尿失禁3～7天后恢复控尿16例(27.6%);永久尿失禁2例(3.4%);原有性交能力者18例中,术后出现勃起功能障碍1 2例(66.7%);产生尿道腐肉3例(5.2%);尿道直肠瘘、尿潴留、会阴部不适以及阴囊水肿各1例(1.7%)。结论:超声引导下经会阴前列腺癌靶向冷冻治疗的并发症发生率较低,且多数是可以预防和治疗的。
Objective: To investigate the complications of ultrasound-guided targeted perineal prostate cancer cryotherapy and its prevention and treatment. Methods: Fifty-eight cases of prostate cancer underwent perineal cryotherapy under the guidance of ultrasound. Through clinical observation, the complications and causes after treatment were analyzed, and the prevention and treatment measures were summarized. Results: Urinary incontinence was resumed in 16 cases (27.6%) 3 to 7 days after urinary incontinence. Permanent urinary incontinence was found in 2 cases (3.4%). Among the 18 cases with original sexual intercourse, 12 cases (66.7%) had postoperative erectile dysfunction ; 3 cases of urethral caries (5.2%); 1 case of urethral rectal fistula, urinary retention, perineal discomfort and scrotal edema (1.7%). CONCLUSION: The incidence of complications caused by ultrasound-guided targeted cryoablation of perineal prostate cancer is low, and most of them are preventable and treatable.