頁籤選單縮合
題名 | Nerve-Sparing Radical Cystoprostatectomy: 3-Year Experience=神經保留根治性膀胱攝護腺切除術--3年經驗 |
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作者 | 江博暉; 吳文正; 江金培; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 13:3 1997.03[民86.03] |
頁次 | 頁169-174 |
分類號 | 416.275 |
關鍵詞 | 神經保留根治性膀胱攝護腺切除術; Nerve fibers; Bladder neoplasms; Cystoprostatectomy; |
語文 | 英文(English) |
中文摘要 | 自1993年6月至1996年1月共有10位膀胱癌病人接受神經保留根治性膀胱攝護腺切除術。我們採用的手術方式與傳統不同之處為保留恥骨攝護腺韌帶,同時神經血管束的分離是在背靜脈叢結紮後再進行。共有7位病人術後接受陰莖硬度儀檢查,結果4位病人顯示夜間勃起正常。10位病人陰莖海綿體注射前列腺素E1後,彩色杜卜勒超音波顯示8位病人最高血流流速大於30公分/秒。7位病人認為術後性功能仍足以維持性生活。在手術標本中,切除邊緣並沒有殘留腫瘤細胞。我們為經由此修正的神經保留手術方式,大部份的病人術後均可有正常性生活,並且此種手術方式不會影響腫瘤的切除。 |
英文摘要 | From June 1993 through January 1996, ten men underwent nerve-sparing radical cystoprostatectomy for carcinoma of the bladder. We describe a modification of surgical technique in which the puboprostatic ligaments are left intact and dissection of neurovascular bundle is performed immediately after the ligationo of dorsal vein complex. Rigiscan was performed in 7 patients and 4 patients had good rigidity. Color duplex sonography revelaed 8 of 10 patients had peak systolic velocity over 30 cm/sec after the injection of prostaglandin E1. Maintenance of sexual function was stated by seven (70%) patients. These is no positive surgical margin. We conclude that the nervesparing modifications are possible to preserve potency in most men undergoing radical cystoprostatetomy and do not compromise cancer control. |
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