3D 腹腔镜在前列腺癌手术中的应用效果及对患者尿流动力学的影响  

Application of 3D laparoscopy in prostate cancer surgery and its impact on urinary flow dynamics

作　　者：蔡成宽[1] 韶云鹏 支运来 王鲲鹏[1] 孙方浒[1] CAI Cheng-kuan;SHAO Yun-peng;ZHI Yun-lai;WANG Kun-peng;SUN Fang-hu(Department of Urology,the First People's Hospital of Lianyungang,Jiangsu,Lianyungang 222061,China;Department of Urology,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China)

机构地区：[1]连云港市第一人民医院泌尿外科,江苏连云港222061 [2]南京医科大学第二附属医院泌尿外科,南京210011

出　　处：《中国医学前沿杂志（电子版）》2018年第5期35-38,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：国家自然科学基金(81570687)

摘　　要：目的观察 3D 腹腔镜在前列腺癌手术中的应用效果及对患者尿流动力学的影响。方法选取连云港市第一人民医院和南京医科大学第二附属医院2015年1月至2017年11月收治的60例前列腺癌患者为研究对象,根据不同治疗方式将患者分为观察组和对照组,每组各30例。观察组患者采用 3D 腹腔镜进行手术治疗,对照组患者采用普通腹腔镜手术,对比两组患者的治疗效果及不同治疗方式对患者尿流动力学的影响。结果观察组患者手术时间、引流时间、导尿管留置时间及住院天数均显著短于对照组(P<0.05),术中出血量显著少于对照组(P<0.05),术后尿失禁发生率显著低于对照组(P<0.05)。治疗后观察组患者膀胱顺应性值、逼尿肌不稳定发生率、残余尿量均明显低于对照组(P<0.05),最大尿流率、最大尿流率时逼尿肌压力均明显高于对照组(P<0.05)。结论与普通腹腔镜手术相比,3D 腹腔镜手术治疗前列腺癌,具有创伤小、并发症和术中出血量少等优势,有助于改善患者尿流动力学。Objective To observe the effect of 3D laparoscopy in patients with prostate cancer and its effect on urinary dynamics.Method From January 2015 to November 2017,60 cases of prostate cancer treated in the First People's Hospital of Lianyungang and the Second Affiliated Hospital of Nanjing Medical University were selected as the research subjects,they were divided into observation group and control group by treatment methods,30 cases in each group.Observation group patients were treated with 3D laparoscopy,and control group patients were treated with ordinary laparoscopy.The therapeutic effects of the two groups of patients and their effects on the urine flow dynamics were compared.Result The operation time,time of drainage,time of urethral catheterization and time of hospitalization in observation group were obviously shorter than those of control group(P<0.05),the amount of bleeding in observation group was significantly lower than that of control group(P<0.05),the incidence of urinary incontinence after surgery was significantly lower than control group(P<0.05).After treatment,the bladder compliance,the detrusor instability and the residual urine in observation group were significantly lower than those of control group(P<0.05),the Qmax and PQmax were significantly higher than those of control group(P<0.05).Conclusion Compared with ordinary laparoscopy 3D laparoscopic surgery has less trauma,fewer complications and lower amount of bleeding,which is helpful to improve the urine flow dynamics.

关 键 词：3D腹腔镜 前列腺癌 创伤 尿流动力学 

分 类 号：R737.25[医药卫生—肿瘤]