经腹膜外入路腹腔镜前列腺癌根治术治疗前列腺癌的临床效果  

Clinical Effect of Laparoscopic Radical Resection of Prostate Cancer Via Extraperitoneal Approach

作　　者：吕广霖 李琛[1] 顾烨 杨春[1] LYU Guanglin;LI Chen;GU Ye;YANG Chun(Wuxi Second People's Hospital,Wuxi 214001,China;不详)

机构地区：[1]无锡市第二人民医院(江南大学附属中心医院),江苏无锡214001

出　　处：《中外医学研究》2024年第4期13-16,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经腹膜外入路腹腔镜前列腺癌根治术治疗前列腺癌的临床效果。方法:选取2019年12月—2022年12月无锡市第二人民医院收治的78例前列腺癌患者作为研究对象。根据1︰1的比例随机将其分为对照组与观察组,各39例。对照组给予经腹腔入路腹腔镜前列腺癌根治术治疗,观察组给予经腹膜外入路腹腔镜前列腺癌根治术治疗。比较两组围手术期指标,控尿率,术前及术后1周勃起功能,并发症。结果:观察组手术时间、留置尿管时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组控尿率为87.18%,高于对照组的64.10%,差异有统计学意义(P<0.05)。术后1周,观察组国际勃起功能评分表(IIEF-5)评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.56%,显著低于对照组的17.59%,差异有统计学意义(P<0.05)。结论:经腹膜外入路腹腔镜前列腺癌根治术治疗前列腺癌具有明显优势,能够有效改善围手术期指标、控尿率及勃起功能,并降低并发症发生率。Objective:To investigate the clinical effect of laparoscopic radical resection of prostate cancer via extraperitoneal approach.Method:A total of 78 patients with prostate cancer admitted to Wuxi Second People's Hospital from December 2019 to December 2022 were selected as the study objects.According to the ratio of 1︰1,they were randomly divided into control group and observation group,39 cases in each group.The control group was treated with laparoscopic radical resection of prostate cancer via peritoneal approach,and the observation group was treated with laparoscopic radical resection of prostate cancer via extraperitoneal approach.The perioperative indexes,urinary control rate,erect function before and 1 week after surgery and complications were compared between the two groups.Result:The operative time,urinary catheter retention time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss volume was less than that in the control group,the differences were statistically significant(P<0.05).The urinary control rate in the observation group was 87.18%,which was higher than 64.10%in the control group,and the difference was statistically significant(P<0.05).One week after surgery,the international index erectile function rating scale(IIEF-5)score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 2.56%,which was significantly lower than 17.59%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic radical resection of prostate cancer via extraperitoneal approach has obvious advantages in the treatment of prostate cancer,which can effectively improve perioperative indexes,urinary control rate and erectile function,and reduce the incidence of complications.

关 键 词：前列腺癌 经腹膜外入路腹腔镜前列腺癌根治术 控尿 勃起功能 并发症 

分 类 号：R737.25[医药卫生—肿瘤]