腹腔镜与经耻骨后前列腺癌根治术的临床疗效对比研究  

A comparative study on clinical efficacy of laparoscopic and retropubic radical prostatectomy for prostate cancer

作　　者：顾震华 冯宁翰[2] 徐新宇[2] 邵宁[2] GU Zhenhua;FENG Ninghan;XU Xinyu;SHAO Ning(Department of Urology,Wuxi Tradtional Chinese Medicine Hospital,WuXi,Jiangsu 214002,China;Department of Urology,the Second People's Hospital of WuXi City,WuXi,Jiangsu 214002,China)

机构地区：[1]江苏省无锡市中医医院泌尿外科,江苏无锡214002 [2]江苏省无锡市第二人民医院泌尿外科,江苏无锡214002

出　　处：《中国医学工程》2019年第9期60-63,共4页China Medical Engineering

摘　　要：目的探讨腹腔镜与经耻骨后前列腺癌根治术的临床疗效。方法选取2014年1月至2015年6月在该院泌尿外科行前列腺癌根治术的患者100例,依照手术方式的不同分为实验组和对照组,其中实验组51例给予腹腔镜下前列腺癌根治术,对照组49例给予经耻骨后前列腺癌根治术,分别比较两组患者术后一般情况。结果实验组的手术时间为(340.4±126.6)min,对照组为(180.6±82.4)min,比较差异有统计学意义(P<0.05);实验组术中出血量为(766.2±653.1)ml,对照组为(1354.4±972.4)ml,两组比较差异有统计学意义(P<0.05);实验组的住院时间为(14.9±7.4)d,对照组为(24.3±8.7)d,两者比较差异有统计学意义(P<0.05);两组留置导尿时间相比较,差异无统计学意义(P>0.05)。两组患者在尿失禁、尿漏、吻合口狭窄及勃起功能障碍等并发症发生率比较差异无统计学意义(P>0.05)。术后随访2年,两组患者的生化复发率和完全控尿率相比较,差异无统计学意义(P>0.05)。结论腹腔镜前列腺癌根治术术中出血量少、微创、术后易恢复,且与经耻骨后前列腺癌根治术疗效相似,值得在临床上大力推荐。【Objective】To investigate the clinical effect of laparoscopic surgery and radical resection of carcinoma of the prostate.【Methods】One hundred patients underwent radical prostatectomy in our hospital from January 2014 to June 2015 were selected,and devided into the experimental group and the control group according to different operation modes;the experimental group(51 cases)was given laparoscopic prostate cancer radical resection,the control group(49 cases)was given retropubic radical prostatectomy,and postoperative general situations were compared between the two groups.【Results】The difference in the operation time between the experimental group[(340.4±126.6)min]and the control group[(180.6±8.24)min]was statistically significant(P<0.05);the amount of bleeding was(766.2±653.1)ml in the experimental group and(1354.4±972.4)ml in the control group,and the difference was statistically significant(P<0.05);the difference in the hospitalization time between the experimental group[(14.9±7.4)d]and the control group[(24.3±8.7)d]was statistically significant(P<0.05);the difference in the indwelling catheter time between the two groups was not statistically significant(P>0.05).There were no significant differences in the incidence of complications such as urinary incontinence,urine leakage,anastomotic stricture and erectile dysfunction between the two groups(P>0.05).The difference in the recurrence rate,complete urinary continence rate between the two groups was not statistically significant after 2-year follow-up(P>0.05).【Conclusion】The amount of hemorrhage during laparoscopic prostate cancer radical surgery is small,the operation is a minimally invasive procedure with easy recovery,its clinical curative effect is similar to retropubic prostate cancer radical surgery,so it is worth being recommended in clinical practice.

关 键 词：前列腺癌 腹腔镜 手术治疗 前列腺癌根治术 

分 类 号：R737.25[医药卫生—肿瘤]