腹腔镜根治性前列腺切除术中尿道前后筋膜重建及尿道后筋膜悬吊对术后尿控的影响  

The effect of anterior and posterior urethral fascia reconstruction and posterior urethral fascia suspension on postoperative urinary control in laparoscopic radical prostatectomy

作　　者：李东章 陈永良 何建松 马权 Li Dongzhang

机构地区：[1]浙江省绍兴市中心医院医共体总院,312030

出　　处：《浙江临床医学》2024年第3期354-355,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省医学会临床科研基金资助项目(2021ZYC-A186)。

摘　　要：目的 探讨腹腔镜根治性前列腺切除术(RP)中尿道前后筋膜重建及后筋膜悬吊对术后尿控的影响。方法 回顾性分析2019年1月至2022年1月前列腺癌行腹腔镜根治性前列腺切除术的患者资料,分为观察组与对照组,观察组83例,RP中行尿道前后筋膜重建及后筋膜悬吊,对照组80例患者常规行腹腔镜RP,比较2组患者术后尿失禁(PPI)发生率。结果 163例手术均取得成功,观察组患者RP术后第1、3、6、12个月尿控情况明显优于对照组。结论 腹腔镜RP中尿道前后筋膜重建及后筋膜悬吊能提高患者术后尿控能力,促进患者快速康复。Objective To investigate the effect of anterior and posterior urethral fascia reconstruction and posterior urethral fascia suspension on postoperative urinary control in laparoscopic radical prostatectomy(RP).Methods Retrospective analysis of patient data on laparoscopic RP for prostate cancer from January 2019 to January 2022,divided into the observation group and the control group.The observation group consisted of 83 cases,with urethral anterior and posterior fascia reconstruction and posterior fascia suspension performed in the RP,while the control group consisted of 80 patients who underwent routine laparoscopic RP.The incidence of post-prostatectomy incontinence(PPI)was compared between the two groups.Results 163 surgeries were successful,and the observation group showed significantly better urinary control at 1,3,6,and 12 months after RP surgery compared to the control group.Conclusion In laparoscopic RP,reconstruction of the anterior and posterior urethral fascia and suspension of the posterior urethral fascia can improve the patient's postoperative urinary control ability and promote rapid recovery.

关 键 词：前列腺癌 尿道前后筋膜重建及后筋膜悬吊 术后尿控 

分 类 号：R737.25[医药卫生—肿瘤]