前列腺癌根治术后患者尿失禁发生机制及盆底肌训练作用的研究进展  

Research Progress on Pathogenesis of Urinary Incontinence and Role of Pelvic Floor Muscle Training in Patients After Radical Prostatectomy for Prostate Cancer

作　　者：陆岁花 黄丽芳[1] 巫冬梅 Lu Suihua;Huang Lifang;Wu Dongmei(Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]右江民族医学院附属医院,广西壮族自治区百色533000

出　　处：《中国社区医师》2025年第8期6-8,共3页Chinese Community Doctors

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-L20220842)。

摘　　要：前列腺癌是指发生在前列腺的上皮性恶性肿瘤,患者需及时实施手术治疗,但术后患者尿失禁发生风险较大,需进行盆底肌训练,以改善肌肉协调性、增强尿道括约肌的功能、恢复局部血液循环,缓解尿失禁症状。该文回顾前列腺癌的治疗现状,重点介绍前列腺癌根治术后尿失禁的发生机制(包括尿道括约肌损伤、盆底肌肉功能受损、神经损伤以及膀胱功能改变等)以及盆底肌训练的作用,发现盆底肌训练不仅能够缩短患者的尿失禁恢复时间,还能有效提高患者的生活质量。Prostate cancer refers to the epithelial malignancy of the prostate,and patients need to undergo surgical treatment in time.However,after surgery,patients have a greater risk of urinary incontinence,and pelvic floor muscle training is required to improve muscle coordination,enhance the function of urethral sphincter,restore local blood circulation,and relieve urinary incontinence symptoms.This article reviews the treatment status of prostate cancer,with a focus on the pathogenesis of urinary incontinence after radical prostatectomy for prostate cancer(including urethral sphincter injury,pelvic floor muscle dysfunction,nerve damage and changes in bladder function,etc),as well as the role of pelvic floor muscle training.Pelvic floor muscle training is found to not only shorten the recovery time of patients with urinary incontinence,but also effectively improve their quality of life.

关 键 词：前列腺癌根治术 尿失禁 盆底肌训练 

分 类 号：R737.25[医药卫生—肿瘤]