腹腔镜前列腺癌根治术中行全盆底重建技术对患者导尿管留置时间及早期控尿的影响  

Effect of total pelvic floor reconstruction during laparoscopic radical prostatectomy on catheter indwelling time and early urinary continence in patients

作　　者：万滨[1] 张文圣[1] 邓新喜[1] WAN Bin;ZHANG Wensheng;DENG Xinxi(The First Department of Urological Surgery,Jiujiang NO.1 People's Hospital,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市第一人民医院泌尿外一科,江西九江332000

出　　处：《当代医学》2023年第29期39-42,共4页Contemporary Medicine

摘　　要：目的探讨腹腔镜前列腺癌根治术中行全盆底重建技术对患者导尿管留置时间、早期控尿的影响。方法选取2019年10月至2021年6月于九江市第一人民医院住院治疗的60例前列腺癌患者作为研究对象,通过随机抽签法分为盆底重建组与对照组,每组30例。对照组接受腹腔镜下前列腺癌根治术,盆腔重建组在腹腔镜前列腺癌根治术中应用全盆底重建技术。比较两组手术情况、术后早期控尿情况、术后并发症发生情况。结果两组手术时间、尿道重建时间、术中出血量及导尿管留置时间比较差异无统计学意义。尿管拔除后第3天,两组完全控尿比率比较差异无统计学意义;拔除尿管后第1、3个月,盆底重建组完全控尿比率均高于对照组,差异有统计学意义(P<0.05)。术后3个月内,两组手术切缘阳性率、保留勃起成功率、术后生化复发率比较差异无统计学意义;盆底重建组术后尿失禁发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜前列腺癌根治术中行全盆底重建技术,有助于增强手术效果,促进患者术后尿控能力。Objective To investigate the effect of total pelvic floor reconstruction during laparoscopic radical prostatectomy on catheter indwelling time and early urinary continence in patients.Methods 60 patients with prostate cancer who were treated in Jiujiang NO.1 People's Hospital from October 2019 to June 2021 were selected as the study subjects,they were divided into the pelvic floor reconstruction group and the control group floor by the random drawing lots,with 30 cases in each group.The control group was treated with laparoscopic radical prostatectomy,while the pelvic reconstruction group was treated with total pelvic floor reconstruction during laparoscopic radical prostatectomy.Surgical conditions,early postoperative urinary continence,and incidence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in surgical time,time for urethral reconstruction,intraoperative blood loss and incatheter dwelling time between the two groups.On the 3rd day after catheter removal,there was no statistically significant difference in the rate of complete urinary continence between the two groups.At the 1st month and 3rd month after catheter removal,the rate of complete urinary continence in the pelvic floor reconstruction group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Three months after surgery,there was no statistically significant difference in the positive rate of surgical margins or the success rate of preserving erectile function between the two groups.The incidence of postoperative urinary incontinence and biochemical recurrence rate in the pelvic floor reconstruction group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Total pelvic floor reconstruction during laparoscopic radical prostatectomy can enhance surgical effect and improve postoperative urinary continence in patients.

关 键 词：腹腔镜前列腺癌根治术 全盆底重建技术 早期控尿 

分 类 号：R737.25[医药卫生—肿瘤]