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膀胱及前列腺术后膀胱痉挛的治疗与护理 被引量:257
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作者 李雪梅 宋波 《中华护理杂志》 CSCD 北大核心 2001年第2期111-112,共2页
对 36 7例膀胱及前列腺术后膀胱痉挛患者采取术后硬膜外导管推注吗啡、膀胱灌注尿多灵、利多卡因及静脉滴注异博停、及时应用镇痛镇静剂、保持引流管通畅、心理护理的综合治疗与护理措施 ,经处理均取得良好效果。
关键词 膀胱痉挛 治疗 护理 膀胱手术 前列腺手术 术后
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冲洗液温度变化对前列腺气化电切术后膀胱痉挛的影响 被引量:75
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作者 钱春娅 沈燕 乔美珍 《护士进修杂志》 北大核心 2007年第3期203-205,共3页
目的对经尿道前列腺气化电切治疗前列腺增生的患者进行研究,探讨冲洗液温度变化对电切术后膀胱痉挛的影响,选择最佳的冲洗液温度。方法将216例患者分为5组,冲洗液温度分布为15℃、20℃、25℃、30℃和35℃。各组的其他治疗相同。每个病... 目的对经尿道前列腺气化电切治疗前列腺增生的患者进行研究,探讨冲洗液温度变化对电切术后膀胱痉挛的影响,选择最佳的冲洗液温度。方法将216例患者分为5组,冲洗液温度分布为15℃、20℃、25℃、30℃和35℃。各组的其他治疗相同。每个病人从术后第一天起每天留三次尿标本(8∶00、16∶00、24∶00),行尿红细胞计数检查,取其平均数作为当天的红细胞数。对各组内膀胱痉挛发生的次数、第一次冲洗前后心率血压的变化值以及术后每天冲洗液的红细胞数进行临床观察。结果(1)随着冲洗液温度的升高,膀胱痉挛的次数呈下降趋势;(2)随着冲洗液温度的升高,冲洗前后血压和心率的变化值逐渐减小;(3)25℃和30℃两组冲洗液中红细胞数明显低于其他三组(P<0.05)。结论(1)术后患者出现心率、血压升高提示膀胱痉挛的发生或将要发生;(2)30℃膀胱冲洗液应为经尿道前列腺气化电切治疗前列腺增生术的最佳选择。 展开更多
关键词 冲洗液 温度 前列腺 膀胱痉挛
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前列腺摘除术后膀胱痉挛的治疗及护理 被引量:71
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作者 康福霞 郭红梅 +4 位作者 曳凤黎 郭于陕 孟俊华 吴东娟 赵雅茹 《实用护理杂志》 北大核心 2002年第4期19-20,共2页
目的 对 392例前列腺摘除术后膀胱痉挛的患者 ,根据不同个体 ,采取不同的治疗护理方法。方法 轻型膀胱痉挛患者 ,采取心理疏导、超短波治疗 ;中、重型膀胱痉挛患者 ,采用硬膜外腔注射吗啡 ,自控镇痛泵和药物治疗。结果 均取得了较好... 目的 对 392例前列腺摘除术后膀胱痉挛的患者 ,根据不同个体 ,采取不同的治疗护理方法。方法 轻型膀胱痉挛患者 ,采取心理疏导、超短波治疗 ;中、重型膀胱痉挛患者 ,采用硬膜外腔注射吗啡 ,自控镇痛泵和药物治疗。结果 均取得了较好的解痉、镇痛效果。结论 对中、重型膀胱痉挛的患者 ,在综合治疗的基础上 。 展开更多
关键词 前列腺 膀胱痉挛 护理
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经尿道前列腺电切术严重并发症的临床分析 被引量:50
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作者 刘和谦 陈弋生 +3 位作者 邹滨 孔艰 陶凌松 朱光标 《中华泌尿外科杂志》 CAS CSCD 北大核心 2016年第7期515-518,共4页
目的分析经尿道前列腺电切术(TURP)严重并发症的发生情况。 方法回顾性分析2005年1月至2014年12月收治的1 950例良性前列腺增生患者的临床资料。年龄54~87岁,平均年龄71岁。病程0.5~15.0年,平均7.6年。前列腺体积(65.1±33.... 目的分析经尿道前列腺电切术(TURP)严重并发症的发生情况。 方法回顾性分析2005年1月至2014年12月收治的1 950例良性前列腺增生患者的临床资料。年龄54~87岁,平均年龄71岁。病程0.5~15.0年,平均7.6年。前列腺体积(65.1±33.4)ml。国际前列腺症状评分(25.5±3.9)分。最大尿流率(8.1±2.6) ml/s。1 950例均行TURP。采用CLASSIC分级系统评估术中并发症,改良Clavien分级系统评估术后并发症。≥Ⅲ级并发症定义为严重并发症。 结果本组1 950例中99例出现严重并发症,占5.1%。术中24例,包括输尿管口损伤3例,膀胱爆炸4例,电切综合征17例。术后并发症75例,包括术后大出血26例,严重排尿困难18例,永久性尿失禁4例,心脑血管意外5例,肺血栓形成3例,重度感染18例,死亡1例。 结论TURP存在发生严重并发症可能。充分了解并发症发生原因及特点,加强预防和及时有效的处理,是降低其发生率的关键措施。 展开更多
关键词 前列腺 经尿道前列腺电切术 并发症
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结扎膀胱下动脉前列腺摘除术的外科解剖和临床应用 被引量:49
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作者 陈秀清 张发惠 +5 位作者 李芳华 方祥源 孙华明 欧良明 陈子宣 林文洪 《中国临床解剖学杂志》 1988年第1期1-4,60,共5页
在32侧成人标本上解剖观察了前列腺的动脉和神经的起源和分布。供应前列腺的动脉主要为膀胱下动脉的分支,平均每侧有5.6支(2~6)。其分出点于膀胱前列腺间沟的4(8)及3(9)点钟之上24±10mm(■±SD),各支可经膀胱前列腺间沟的任何... 在32侧成人标本上解剖观察了前列腺的动脉和神经的起源和分布。供应前列腺的动脉主要为膀胱下动脉的分支,平均每侧有5.6支(2~6)。其分出点于膀胱前列腺间沟的4(8)及3(9)点钟之上24±10mm(■±SD),各支可经膀胱前列腺间沟的任何一处进入前列腺实质或其包膜。至海绵体组织的植物性神经主要集中于膀胱前列腺间沟及前列腺表面的4点和8点钟外。作者认为,于膀胱前列腺连接部的侧面盲目缝扎包膜,试图结扎其中的动脉而达止血的目的,未必奏效。我们在7例良性前列腺增生的手术摘除术中,采用直视下膀胱下动脉结扎的方法,结扎动脉干可靠,术中术后出血量显著减少。因不会误扎神经,可避免术后病人性功障碍。 展开更多
关键词 前列腺 前列腺摘除术 前列腺肥大
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江苏省3551例中老年男性健康调查 被引量:45
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作者 申素琪 徐晓燕 +1 位作者 蔡瑞芬 童建孙 《中华男科学杂志》 CAS CSCD 2005年第6期438-441,共4页
目的:了解我省中老年男性健康的基本情况.方法:对苏南、苏北、苏中随机收集3 551例46~69岁的男性进行常规体检;按照勃起功能国际指数(IIEF-5)、老年男性雄激素部分缺乏(PADAM)自我评估表等进行询问.实验室检测肝肾功能和血糖、血脂指标... 目的:了解我省中老年男性健康的基本情况.方法:对苏南、苏北、苏中随机收集3 551例46~69岁的男性进行常规体检;按照勃起功能国际指数(IIEF-5)、老年男性雄激素部分缺乏(PADAM)自我评估表等进行询问.实验室检测肝肾功能和血糖、血脂指标;用放射免疫法测定血清睾酮和游离睾酮;B超检查前列腺体积及残余尿情况.结果:各年龄组B超检查的前列腺体积有明显差异(P<0.05).各年龄组之间睾酮的差异无显著性(P>0.05),而游离睾酮随着年龄的增加而降低,有明显差异,在有更年期症状者中随着年龄的增加下降更为明显(P<0.05).勃起功能障碍(ED)和PADAM的发病率与年龄的增加显著相关(P<0.001).结论:男性在中老年期随着年龄的增加,体能、性功能水平下降,前列腺体积增大,ED、PADAM发病率明显增加. 展开更多
关键词 前列腺 游离睾酮 睾酮 老年男性部分雄激素缺乏 勃起功能障碍 健康调查 男性 中老年 江苏
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Prostate cancer in East Asia: evolving trend over the ast decade 被引量:43
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作者 Yao Zhu 《Asian Journal of Andrology》 SCIE CAS CSCD 2015年第1期48-57,I0007,共11页
Prostate cancer is now becoming an emerging health priority in East Asia. Most of our current knowledge on Prostate cancer has been generated from studies conducted in Western population; however, there is considerabl... Prostate cancer is now becoming an emerging health priority in East Asia. Most of our current knowledge on Prostate cancer has been generated from studies conducted in Western population; however, there is considerable heterogeneity of Prostate cancer between East and West. In this article, we reviewed epidemiologic trends, risk factors, disease characteristics and management of Prostate cancer in East Asian population over the last decade. Growing evidence from East Asia suggests an important role of genetic and environmental risk factors interactions in the carcinogenesis of Pr0s^te cancer. Exposure to westernized diet and life style and improvement in health care in combination contribute substantially to the increasing epidemic in this region. Diagnostic and treatment guidelines in East Asia are largely based on Western knowledge. Although there is a remarkable improvementin the outcome over the last decade, ample evidence suggests an inneglectable difference in diagnostic accuracy, treatment efficacy and adverse events between different populations. The knowledge from western countries should be calibrated in the Asian setting to provide a better race-based treatment approach. In this review, we intend to reveal the evolving trend of Prostate cancer in the last decade, in order to gain evidence to improve Prostate cancer prevention and control in East Asia. 展开更多
关键词 Asians diagnosis EPIDEMIOLOGY GENETICS prostate cancer treatment outcome
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经尿道双极等离子体前列腺剜除术治疗良性前列腺增生症1100例 被引量:44
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作者 许凯 刘春晓 《实用医学杂志》 CAS 北大核心 2012年第14期2395-2397,共3页
目的:评价经尿道双极等离子体前列腺剜除术(TUERP)治疗良性前列腺增生症(BPH)的意义和应用价值。方法:共1100例BPH患者接受TUERP。所有患者手术前后均行直肠指诊、经直肠前列腺B超、尿动力学检查及相关实验室检查,并进行IPSS及QOL评分... 目的:评价经尿道双极等离子体前列腺剜除术(TUERP)治疗良性前列腺增生症(BPH)的意义和应用价值。方法:共1100例BPH患者接受TUERP。所有患者手术前后均行直肠指诊、经直肠前列腺B超、尿动力学检查及相关实验室检查,并进行IPSS及QOL评分。术后第1、3、6、12个月进行随访,此后每年随访。结果:患者平均年龄66.7岁,术前前列腺平均重量67.7g,平均剜除时间15.5min,平均切碎时间46min,切除组织平均重量42.8g,平均留置尿管及住院时间分别为1.8d及5.3d。平均随访时间4.3年,术后近期及远期Qmax,PVR,PSA,IPSS及QOL评分均明显改善。结论:经尿道双极等离子体前列腺剜除术是一种全新的微创手术,它安全性高,疗效可靠,适用于各种类型的前列腺增生症。 展开更多
关键词 前列腺增生 前列腺 等离子 剜除术
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经会阴和经直肠途径前列腺穿刺活检并发症的比较分析 被引量:41
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作者 芦志华 朱生才 +3 位作者 朱刚 马宏 万奔 王建业 《临床泌尿外科杂志》 2008年第5期362-364,共3页
目的:比较经直肠及经会阴前列腺穿刺活检术并发症的发生率,研究发生原因及处理方法。方法:统计北京医院1998~2007年间前列腺穿刺的患者,检索CNKI中国期刊全文数据库2000~2007年间发表有关前列腺穿刺活检术的文献,对并发症数据进... 目的:比较经直肠及经会阴前列腺穿刺活检术并发症的发生率,研究发生原因及处理方法。方法:统计北京医院1998~2007年间前列腺穿刺的患者,检索CNKI中国期刊全文数据库2000~2007年间发表有关前列腺穿刺活检术的文献,对并发症数据进行分析比较。结果:北京医院780例经直肠前列腺穿刺活检并发症发生率:肉眼血尿46.3%、血便8.7%、直肠出血0.5%、泌尿生殖系统感染0.9%、排尿困难0.6%、急性尿潴留0.6%、发热1.9%和血管迷走神经反射0.1%。检索前列腺穿刺相关文献共11篇,经直肠组7篇.经会阴组4篇。总例数分别为:2244例和1068例。两种穿刺方法阳性率分别为:32.7%和27.4%,差异无统计学意义(P〉0.05)。两组并发症发生率经直肠组显著多于经会阴组(P〈0.01)。结论:经直肠与经会阴两种穿刺方式阳性率相似。经会阴前列腺穿刺的并发症少于经直肠前列腺穿刺。 展开更多
关键词 前列腺 活组织检查 并发症
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WNT signaling regulates self-renewal and differentiation of prostate cancer cells with stem cell characteristics 被引量:38
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作者 Isabelle Bisson David M Prowse 《Cell Research》 SCIE CAS CSCD 2009年第6期683-697,共15页
Prostate cancer cells with stem cell characteristics were identified in human prostate cancer cell lines by their ability to form from single cells self-renewing prostaspheres in non-adherent cultures. Prostaspheres e... Prostate cancer cells with stem cell characteristics were identified in human prostate cancer cell lines by their ability to form from single cells self-renewing prostaspheres in non-adherent cultures. Prostaspheres exhibited heterogeneous expression of proliferation, differentiation and stem cell-associated makers CD44, ABCG2 and CD133. Treatment with WNT inhibitors reduced both prostasphere size and self-renewal. In contrast, addition of Wnt3a caused increased prostasphere size and self-renewal, which was associated with a significant increase in nuclear β-catenin, keratin 18, CD133 and CD44 expression. As a high proportion of LNCaP and C4-2B cancer ceils express androgen receptor we determined the effect of the androgen receptor antagonist bicalutamide. Androgen receptor inhibition reduced prostasphere size and expression of PSA, but did not inhibit prostasphere formation. These effects are consistent with the androgen-independent self-renewal of cells with stem cell characteristics and the androgen-dependent proliferation of transit amplifying cells. As the canonical WNT signaling effector β-catenin can also associate with the androgen receptor, we propose a model for tumour propagation involving a balance between WNT and androgen receptor activity. That would affect the self-renewal of a cancer cell with stem cell characteristics and drive transit amplifying cell proliferation and differentiation. In conclusion, we provide evidence that WNT activity regulates the selfrenewal of prostate cancer cells with stem cell characteristics independently of androgen receptor activity. Inhibition of WNT signaling therefore has the potential to reduce the self-renewal of prostate cancer cells with stem cell characteristics and improve the therapeutic outcome. 展开更多
关键词 prostate cancer stem cell WNT androgen receptor LNCAP prostasphere
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前列腺三维磁共振波谱成像的初步研究 被引量:35
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作者 王霄英 周良平 蒋学祥 《中国医学影像技术》 CSCD 2002年第11期1154-1157,共4页
目的评价三维磁共振波谱成像 (three dimensionalMRspectroscopicimaging ,3DMRSI)检查前列腺的可行性并初步评价在MRI基础上联合应用 3DMRSI对鉴别前列腺癌和正常前列腺外周带与良性前列腺增生的价值。方法 2 2例疑为前列腺癌的患者行... 目的评价三维磁共振波谱成像 (three dimensionalMRspectroscopicimaging ,3DMRSI)检查前列腺的可行性并初步评价在MRI基础上联合应用 3DMRSI对鉴别前列腺癌和正常前列腺外周带与良性前列腺增生的价值。方法 2 2例疑为前列腺癌的患者行MRI和 3DMRSI检查。将 3DMRSI的检查结果与病理结果对照。结果 2 2例患者中有 2 1例完成了前列腺 3DMRSI检查。 1例患者因既往曾行直肠肛门手术而无法置入直肠内线圈致使检查不能完成。 6例患者获得41处病理结果 ,其中 2 1处为前列腺癌 ,14处为前列腺增生 ,6处为正常外周带。计算 3DMRSI中相应位置的 [胆碱(choline) +肌酸 (creatine) ] /枸椽酸盐 (citrate)的比值 ,发现前列腺增生和正常前列腺外周带的 (choline +creatine) /citrate值较小 (0 .5 1± 0 .17和 0 .60± 0 .2 1) ,而前列腺癌的 (choline +creatine) /citrate值较大 (1.98± 0 .95 )。结论 3DMRSI检查对于多数前列腺疾病患者是可行的 ,可得到有诊断意义的波谱信息。与病理对照研究的初步结果显示 3DMRSI有助于鉴别肿瘤与其他疾病 ,与MRI结合能直观地显示肿瘤的范围。 展开更多
关键词 三维磁共振波谱成像 磁共振波谱 前列腺癌 前列腺增生 鉴别诊断
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Prostate cancer in Asia:A collaborative report 被引量:38
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作者 Rui Chen Shancheng Ren +44 位作者 Ming Kwong Yiu Ng Chi Fai Wai Sam Cheng Lap Hong Ian Seiji Naito Tadashi Matsuda Elijah Kehinde Ali Kural Jason Yichun Chiu Rainy Umbas Qiang Wei Xiaolei Shi Liqun Zhou Jian Huang Yiran Huang Liping Xie Lulin Ma Changjun Yin Danfeng Xu Kexin Xu Zhangqun Ye Chunxiao Liu Dingwei Ye Xin Gao Qiang Fu Jianquan Hou Jianlin Yuan Dalin He Tiejun Pan Qiang Ding Fengshuo Jin Benkang Shi Gongxian Wang Xiuheng Liu Dongwen Wang Zhoujun Shen Xiangbo Kong Wanhai Xu Yaoliang Deng Haibo Xia Alexa NCohen Xu Gao Chuanliang Xu Yinghao Sun 《Asian Journal of Urology》 2014年第1期15-29,共15页
The incidence of prostate cancer(PCa)within Asian population used to be much lower than in the Western population;however,in recent years the incidence and mortality rate of PCa in some Asian countries have grown rapi... The incidence of prostate cancer(PCa)within Asian population used to be much lower than in the Western population;however,in recent years the incidence and mortality rate of PCa in some Asian countries have grown rapidly.This collaborative report summarized the latest epidemiology information,risk factors,and racial differences in PCa diagnosis,current status and new trends in surgery management and novel agents for castration-resistant prostate cancer.We believe such information would be helpful in clinical decision making for urologists and oncologists,health-care ministries and medical researchers. 展开更多
关键词 prostate cancer Asian population EPIDEMIOLOGY Risk factors Racial differences Surgery management
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JMJD3 is a histone H3K27 demethylase 被引量:37
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作者 Yang Xiang Ziqi Zhu Gang Han Hanqing Lin Longyong Xu Charlie Degui Chen 《Cell Research》 SCIE CAS CSCD 2007年第10期850-857,共8页
Histone methylation is an important epigenetic phenomenon that participates in a diverse array of cellular processes and has been found to be associated with cancer. Recent identification of several histone demethylas... Histone methylation is an important epigenetic phenomenon that participates in a diverse array of cellular processes and has been found to be associated with cancer. Recent identification of several histone demethylases has proved that histone methylation is a reversible process. Through a candidate approach, we have biochemically identified JMJD3 as an H3K27 demethylase. Transfection of JMJD3 into HeLa cells caused a specific reduction oftrimethyl H3K27, but had no effect on di-and monomethyl H3K27, or histone lysine methylations on H3K4 and H3K9. The enzymatic activity requires the JmjC domain and the conserved histidine that has been suggested to be important for a cofactor binding. In vitro biochemical experiments demonstrated that JMJD3 directly catalyzes the demethylation. In addition, we found that JMJD3 is upregulated in prostate cancer, and its expression is higher in metastatic prostate cancer. Thus, we identified JMJD3 as a demethylase capable of removing the trimethyl group from histone H3 lysine 27 and upregulated in prostate cancer. 展开更多
关键词 histone methylation DEMETHYLASE JMJD3 H3K27 prostate cancer
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Application of surface-enhanced laser desorption/ionization time-of-flight-based serum proteomic array technique for the early diagnosis of prostate cancer 被引量:32
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作者 Yu-Zhuo Pan Xue-Yuan Xiao +5 位作者 Dan Zhao Guo-Yi Ji Yang Li Bao-Xue Yang Da-Cheng He Xue-Jian Zhao 《Asian Journal of Andrology》 SCIE CAS CSCD 2006年第1期45-51,共7页
Aim: To identify the serum biomarkers of prostate cancer (PCa) by protein chip and bioinformatics. Methods: Serum samples from 83 PCa patients and 95 healthy men were taken from a mass screening in Changchun, Chin... Aim: To identify the serum biomarkers of prostate cancer (PCa) by protein chip and bioinformatics. Methods: Serum samples from 83 PCa patients and 95 healthy men were taken from a mass screening in Changchun, China. Protein profiling was carried out using surface-enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS). The data of spectra were analyzed using two bioinformatics tools. Results: Eighteen serum differential proteins were identified in the PCa group compared with the control group (P 〈 0.01). There were four proteins at the higher serum level and 14 proteins at the lower serum level in the PCa group. A decision tree classification algorithm that used an eight-protein mass pattern was developed to correctly classify the samples. A sensitivity of 92.0 % and a specificity of 96.7 % for the study group were obtained by comparing the PCa and control groups. Conclusion: We identified new serum biomarkers of PCa. SELDI-TOF MS coupled with a decision tree classification algorithm will provide a highly accurate and innovative approach for the early diagnosis of PCa. (Asian J Androl 2006 Jan; 8: 45-51) 展开更多
关键词 prostate cancer early diagnosis protein chip biomarker SERUM
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TUR-P手术切除前列腺组织重量及比例分析 被引量:35
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作者 席志军 宁新荣 +3 位作者 潘柏年 郝金瑞 那彦群 郭应禄 《中华泌尿外科杂志》 CAS CSCD 北大核心 2001年第4期232-234,共3页
目的 提高TUR P手术前列腺增生组织的切除率。 方法 回顾性分析 34 6例TUR P手术切除前列腺增生组织重量及比例。 结果  34 6例手术平均切除前列腺增生组织重量为2 8.7g ,平均切除率为 46 .2 %。切除率与估计重量呈正相关 (P <0... 目的 提高TUR P手术前列腺增生组织的切除率。 方法 回顾性分析 34 6例TUR P手术切除前列腺增生组织重量及比例。 结果  34 6例手术平均切除前列腺增生组织重量为2 8.7g ,平均切除率为 46 .2 %。切除率与估计重量呈正相关 (P <0 .0 0 1)。熟练操作者和普通操作者的切除率差别无显著性意义 (P >0 .0 5 )。 结论 TUR P手术切除比例随前列腺体积增大而增加 ,残留的增生腺体是限制手术切除比例的原因。 展开更多
关键词 前列腺增生 经尿道切除 前列腺切除 TUR-P 前列腺组织 重量
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Diagnostic strategies and the incidence of prostate cancer: reasons for the low reported incidence of prostate cancer in China 被引量:26
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作者 Ling Zhang Shan Wu +1 位作者 Li-Rong Guo Xue-Jian Zhao 《Asian Journal of Andrology》 SCIE CAS CSCD 2009年第1期9-13,共5页
We have analysed the reasons for the low reported incidence of prostate cancer in China and argue for early diagnosis and treatment of this disease. According to the 2002 database of the International Agency for Resea... We have analysed the reasons for the low reported incidence of prostate cancer in China and argue for early diagnosis and treatment of this disease. According to the 2002 database of the International Agency for Research on Cancer (IARC), the age-standardized incidence of prostate cancer in China is 1.6/105 person years (PY), with a mortality rate of 1.0/105 PY and mortality-to-incidence rate ratio (MR/IR) = 0.63. The MR/IR ratio of prostate cancer in China was found to be higher than the average in Asia (MR/IR = 0.57) and much higher than that in North America (MR/IR = 0.13). These data indicate that in China most prostate cancers were in the advanced stages at the time of diagnosis, and that patients had a short survival time thereafter. In 2004, Stamey et al. reported a retrospective American study of prostate cancer for the years 1983-2003. It was shown that most cases of prostate cancer detected by prostate-specific antigen (PSA) screening were in the advanced stage at the start of this 20-year period. These early follow-up data are quite similar to the results obtained from mass PSA screening of elderly men in Changchun, China. However, after the American programmes for early diagnosis and treatment of prostate cancer were accepted, tumours were diagnosed at earlier stages. On the basis of these findings, mass screening should be performed in the whole of China using serum PSA to facilitate early diagnosis and treatment of prostate cancer. 展开更多
关键词 DIAGNOSIS METASTASIS prostate cancer prostate carcinoma tumour antigen
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经尿道前列腺切除术后并发症再入院分析 被引量:29
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作者 肖春雷 陈忠新 +3 位作者 田晓军 卢剑 庄申榕 马潞林 《中国微创外科杂志》 CSCD 2004年第2期97-98,共2页
目的 探讨经尿道前列腺切除术后出现较严重并发症需再入院原因。 方法 分析 1998年 6月~ 2 0 0 3年 6月我院收治的经尿道前列腺电切术 (14例 )、电汽化术 (3例 )、激光切除术 (9例 )及钬激光前列腺剜除术 (1例 )后再入院共 2 7例的... 目的 探讨经尿道前列腺切除术后出现较严重并发症需再入院原因。 方法 分析 1998年 6月~ 2 0 0 3年 6月我院收治的经尿道前列腺电切术 (14例 )、电汽化术 (3例 )、激光切除术 (9例 )及钬激光前列腺剜除术 (1例 )后再入院共 2 7例的临床资料。 结果 再入院原因为术后膀胱内大出血 4例 ,尿潴留 15例 ,尿道狭窄 3例 ,膀胱颈挛缩 2例 ,严重尿频 2例 ,尿失禁 1例。 结论 经尿道前列腺切除的各种手术方式均可产生后期严重并发症 ,应予重视。 展开更多
关键词 经尿道 前列腺切除术 术后并发症 再入院分析
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中国正常成年男性前列腺的MRS定量分析 被引量:24
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作者 王霄英 周良平 +3 位作者 丁建平 王刚 肖江喜 蒋学祥 《中国医学影像技术》 CSCD 2003年第5期576-578,共3页
目的 用磁共振波谱分析方法定量测量中国正常成年男性前列腺的代谢水平。方法  10例 2 0~ 40岁的成年男性 ,临床无前列腺疾病的征象。在前列腺的中央带和外周带、右侧和左侧的底部、中间和尖部各取一兴趣区 ,共 12个兴趣区 ,测量其 ... 目的 用磁共振波谱分析方法定量测量中国正常成年男性前列腺的代谢水平。方法  10例 2 0~ 40岁的成年男性 ,临床无前列腺疾病的征象。在前列腺的中央带和外周带、右侧和左侧的底部、中间和尖部各取一兴趣区 ,共 12个兴趣区 ,测量其 (胆碱 +肌酸 ) /枸椽酸盐 [(Choline +Creatine) /Citrate ,(Cho +Cre) /Cit]的比值。结果  10例正常前列腺中央带各区 (Cho +Cre) /Cit比值之间无显著性差异 (P >0 .0 5 ) ,平均为 0 .75± 0 .3 3 ;外周带各区 (Cho +Cre) /Cit比值之间无显著性差异 (P >0 .0 5 ) ,平均为 0 .5 1± 0 .2 0。前列腺中央带与外周带之间的 (Cho +Cre) /Cit比值有显著性差异 (P <0 .0 1)。结论 正常成年男性前列腺的代谢情况可用MRS来定量评价 ,前列腺中央带和外周带的代谢水平不同。 展开更多
关键词 前列腺 磁共振波谱
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Age-specific PSA reference ranges in Chinese men without prostate cancer 被引量:24
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作者 Zhi-Yong Liu Ying-Hao Sun +3 位作者 Chuan-Liang Xu Xu Gao Luo-Man Zhang Shan-Cheng Ren 《Asian Journal of Andrology》 SCIE CAS CSCD 2009年第1期100-103,共4页
This study is to determine age-specific prostate-specific antigen (PSA) distributions in Chinese men without prostate cancer (PC) and to recommend reference ranges for this population after comparison with other s... This study is to determine age-specific prostate-specific antigen (PSA) distributions in Chinese men without prostate cancer (PC) and to recommend reference ranges for this population after comparison with other studies. From September 2003 to December 2006, 9 374 adult men aged from 18 to 96 years agreed to participate in the study. After all cases of PC were excluded, 8 422 adult men participated in statistical analysis and were divided into five age groups. Simple descriptive statistical analyses were carried out and quartiles and 95th percentiles were calculated for each age group. The age-specific PSA reference ranges are as follows: 4049 years, 2.15 ng mLl; 50-59 years, 3.20 ng mLl; 60-9 years, 4.10 ng mL^-1; 70-79 years, 5.37 ng mL^-1. The results indicate that the ethnic differences in PSA levels are obvious. The currently adopted Oesterling's age-specific PSA reference ranges are not appropriate for Chinese men. The reference ranges of this study should be more suitable to Chinese men. 展开更多
关键词 age prostate cancer prostate-specific antigen
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Interactions between cancer cells and bone microenvironment promote bone metastasis in prostate cancer 被引量:28
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作者 Xiangyu Zhang 《Cancer Communications》 SCIE 2019年第1期645-654,共10页
Bone metastasis is the leading cause of death in prostate cancer patients,for which there is currently no effective treatment.Since the bone microenvironment plays an important role in this process,attentions have bee... Bone metastasis is the leading cause of death in prostate cancer patients,for which there is currently no effective treatment.Since the bone microenvironment plays an important role in this process,attentions have been directed to the interactions between cancer cells and the bone microenvironment,including osteoclasts,osteoblasts,and bone stromal cells.Here,we explained the mechanism of interactions between prostate cancer cells and metastasis-associated cells within the bone microenvironment and further discussed the recent advances in targeted therapy of prostate cancer bone metastasis.This review also summarized the effects of bone microenvironment on prostate cancer metastasis and the related mechanisms,and provides insights for future prostate cancer metastasis studies. 展开更多
关键词 prostate cancer Bone metastasis Bone microenvironment COLONIZATION DORMANCY REACTIVATION Reconstruction Nuclear factor-κB ligand Androgen receptor Targeted therapy
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