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目的:探讨腹腔镜前列腺癌根治术保留部分近端前列腺部尿道对术后早期尿控恢复的影响,以期为该类疾病的治疗提供参考。方法:选取2013年4月~2015年9月在我院就诊的前列腺癌患者52例,其中28例患者行腹腔镜前列腺癌根治术保留部分近端前列腺部尿道,设为治疗组,24例患者行腹腔镜前列腺癌根治术非保留部分近端前列腺部尿道,设为对照组。比较两组患者围手术期临床参数和早期尿控基本正常例数。结果:治疗组患者手术时间、术中出血量、留置导尿管时间、切缘阳性、近期并发症、住院天数与对照组比较,无明显差异;治疗组0、14、30、90d尿控基本正常例数与对照组比较,差异具有统计学意义。结论:腹腔镜前列腺癌根治术保留部分近端前列腺部尿道与非保留部分近端前列腺部尿道的临床效果相近,但能明显增加患者术后早期尿控的恢复,值得临床合理选用。
Objective: To investigate the effect of laparoscopic radical prostatectomy on preserving some proximal prostatic urethra on early postoperative urinary control, in order to provide reference for the treatment of such diseases. Methods: From April 2013 to September 2015, 52 cases of prostate cancer were treated in our hospital. Among them, 28 cases underwent laparoscopic radical prostatectomy to retain part of the proximal urethra of the prostate, which was treated as the treatment group. Twenty-four patients Laparoscopic radical prostatectomy of non-retained part of the proximal prostate urethra, as the control group. The perioperative clinical parameters and the normal cases of early urinary control were compared between the two groups. Results: There was no significant difference in the operation time, intraoperative blood loss, indwelling catheter time, positive margins, recent complication and hospitalization days in the treatment group compared with the control group. The basic control group at 0, 14, 30 and 90 days The normal number of cases compared with the control group, the difference was statistically significant. Conclusions: Laparoscopic radical prostatectomy has the similar clinical effect of preserving part of proximal urethra and proximal part of urethra, but it can significantly increase the recovery of early postoperative urinary control, which is worthy of clinical use.