前列腺癌根治性术后尿失禁的影像学进展  

Advances in the imaging studies of post-prostatectomy urinary incontinence

作　　者：李鹏禹(综述) 丁留成[1] 卫中庆(审校)[1] LI Peng-yu;DING Liu-cheng;WEI Zhong-qing(Department of Urology,The Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210011,China)

机构地区：[1]南京医科大学第二附属医院泌尿外科,江苏南京210011

出　　处：《中华男科学杂志》2020年第9期838-843,共6页National Journal of Andrology

基　　金：江苏省自然科学基金(BK20181093)。

摘　　要：根治性前列腺切除术是治疗前列腺癌标准手术,但术后会存在尿失禁、勃起功能障碍、膀胱尿道吻合口狭窄等众多并发症。其中尿失禁是术后常见的主要并发症,严重影响患者的生活质量。前列腺癌术后尿失禁目前主要依靠临床症状、尿动力学检查以及影像学检查进行诊断。根治性前列腺癌切除术后尿失禁患者会出现解剖学与功能性的相应改变,影像检查可以更清晰直观地观察这些变化。本文主要从磁共振、超声及膀胱尿道造影等角度阐述前列腺癌根治术后压力性尿失禁相关的解剖影像研究进展,以提高大家对这方面的认识。Radical prostatectomy is a standard surgical strategy for prostate cancer though with a few postoperative complications such as urinary incontinence,erectile dysfunction and vesicle urethral anastomotic stricture.Post-prostatectomy incontinence,as a common complication seriously affecting the patient’s quality of life,is mainly diagnosed according to the clinical symptoms and the results of urodynamic and imaging examinations.Patients with post-prostatectomy incontinence may undergo corresponding anatomic and functional changes,which can be clearly and directly observed in imaging examination.This review focuses on the advances in the imaging studies of post-prostatectomy urinary incontinence from the perspectives of MRI,ultrasound and cystourethrography.

关 键 词：前列腺切除术后尿失禁 MRI 超声 膀胱尿道造影 尿动力学 

分 类 号：R737.25[医药卫生—肿瘤]