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目的:探讨耻骨后前列腺癌根治术保留耻骨前列腺韧带及耻骨直肠悬带等对术后并发症的影响。方法:对16例前列腺癌患者(平均年龄67岁,B期14例,C期2例)实施了耻骨后前列腺癌根治术,术中保留耻骨前列腺韧带及耻骨直肠悬带。结果:16例患者手术顺利,随访1～4年,无长期尿失禁及排尿困难,6例保留睾丸者术后4例恢复了性功能,9例患者PSA保持在0.05ng/ml,7例PSA<0.05ng/ml,16例均存活。结论:耻骨后前列腺癌根治术中保留耻骨前列腺韧带及耻骨直肠悬带有助于减少并发症,取得较好的手术效果。
Objective: To investigate the effect of preserving pubopulmonary prostheses and puborectalis sling on the postoperative complications of radical retropubic prostatectomy. Methods: Sixteen patients with prostate cancer (mean age 67 years, 14 cases in stage B and 2 cases in stage C) underwent retropubic prostatectomy. Pubo-prostatectomy and puborectalis sling were preserved during operation. Results: Sixteen patients were successfully operated and were followed up for 1 to 4 years. There were no long-term urinary incontinence and dysuria. In 6 patients with preserved testicles, 4 patients recovered their sexual function after operation. PSA remained at 0.05 ng / ml in 9 patients, <0.05ng / ml, 16 cases were alive. CONCLUSION: The preservation of pubopulmonary prosthesis and puborectalis sling in radical retropubic prostatectomy can help reduce the complications and achieve better surgical results.