作　　者： ; ; ;

机构地区： 海南省中医院

出　　处： 《河北医学》 2019年第8期1304-1308,共5页

摘　　要： 目的:观察3D腹腔镜下前列腺根治术(3D-LRP)治疗对前列腺癌(Pca)患者围术期指标、尿控恢复时间及术后并发症的影响.方法:回顾性收集我院泌尿外科2015年5月至2017年12月完成LRP的110例Pca患者资料,58例采用3D-LRP治疗的患者纳入3D组,采用2D-LRP治疗的52例患者纳入2D组.观察患者围术期各项指标、术后尿控恢复、术后3个月尿失禁情况及发生性功能障碍的比率.结果:所有患者手术均成功,3D组患者手术时间较2D组明显短,且术中出血量及输血率较2D组明显低(P<0.05).两组患者在术后漏尿率、切缘阳性率及血管神经束保留率上无显著差异(P>0.05).3D组患者在拔出尿管1个月、2个月、3个月及4个月尿控恢复情况均优于2D组患者(P<0.05).3D组患者性功能障碍人数明显较2D组患者少,且术后3个月尿失禁的发生率较2D组患者显著低.结论:3D-LRP技术治疗Pca患者效果显著,有效改善患者尿控功能,值得临床推广使用. Objective: To observe the effects of 3D laparoscopic radical prostatectomy (3D-LRP) on perioperative indexes, continence recovery time and postoperative complications in patients with prostate cancer (Pca). Methods: The data of 110 patients with Pca treated by LRP in the department of urinary surgery of the hospital from May 2015 to December 2017 were retrospectively analyzed. 58 patients treated with 3D-LRP were included in the 3D group, and 52 patients treated with 2D-LRP were included in the 2D group. Perioperative indicators, postoperative continence recovery, incidence of postoperative urinary incontinence and sexual dysfunction in both groups were observed. Results: The surgery of all patients was successful. The surgical time of 3D group was significantly shorter than that of 2D group, and the intraoperative blood loss and blood transfusion rate were significantly less/lower than those of 2D group (P<0.05). There was no significant difference in postoperative leakage urine rate, positive rate of resection margin or retention rate of vascular nerve tract between the two groups (P>0.05). The continence recovery in 3D group was better than that in 2D group at 1 month, 2 months, 3 months and 4 months after removal of urinary catheter (P<0.05). Patients with sexual dysfunction in 3D group were significantly fewer than 2D group, and the incidence of urinary incontinence at 3 months after surgery was significantly lower than that in 2D group. Conclusion: 3D-LRP is effective in the treatment of Pca, and it can effectively improve continence.

关 键 词： 腹腔镜 前列腺癌 尿控

领　　域： []