前列腺癌包膜外侵犯对根治性前列腺切除术中性神经保留决策的影响  

Influence of extraprostatic prediction extension on nerve-sparing strategy in radical prostatectomy

作　　者：程勇兵 邱雪峰[2] 李笑弓[2] 郭宏骞[2] CHENG Yongbing;QIU Xuefeng;LI Xiaogong;GUO Hongqian(Department of Urology,Medical School of Southeast University Nanjing Drum Tower Hospital,Nanjing 210008,China;Department of Urology,Drum Tower Hospital Affiliated to School of Medicine Nanjing University,Nanjing 210008,China)

机构地区：[1]东南大学医学院南京鼓楼医院泌尿外科,江苏南京210009 [2]南京大学医学院附属鼓楼医院泌尿外科/南京大学泌尿外科学研究所

出　　处：《中国肿瘤外科杂志》2022年第6期606-609,共4页Chinese Journal of Surgical Oncology

基　　金：国家自然科学基金面上项目(82172639);南京市医药科技发展基金(QRX17128)。

摘　　要：保留性神经(NS)的根治性前列腺切除术(RP)能够促进术后性功能的恢复,但可能增加术后切缘阳性率与生化复发的风险,尤其是对于存在前列腺癌包膜外侵犯(EPE)的患者。预测EPE是根治性前列腺切除术制定手术方式的关键。文章就术前预测EPE的手段做一综述,以期为临床RP提供依据。Nerve-sparing radical prostatectomy improves the recovery of erectile function after surgery.However,nerve sparing technique might increase the risk of positive surgical margin and biochemical recurrence,especially in patients with extraprostatic extension(EPE).Therefore,it is of great importance to predict EPE to select patients for nerve-sparing radical prostatectomy.This review will focus on the preoperative assessment of EPE and strategy of nerve-sparing radical prostatectomy,in order to provide reference for clinical practice.

关 键 词：前列腺癌 根治性前列腺切除术 保留性神经 包膜外侵犯 预测 

分 类 号：R737.25[医药卫生—肿瘤]