摘要
目的 探讨改良腹腔镜前列腺癌根治术对患者控尿能力的影响.方法 96例前列腺癌患者随机分为两组,观察组51例,对照组45例.观察组采用改良腹腔镜技术,术中保护患者的尿道外括约肌,保留控尿神经和重建膀胱颈部；对照组采用常规腹腔镜技术.比较术后30 d、60d、90 d患者的控尿能力.结果 两组手术时间和术中出血量差异均无统计学意义（均P＞0.05）.两组尿管留置时间及术后30 d、60d、90 d控尿率差异有统计学意义（t=10.0359,P＜0.05；t=7.9746、14.0205、10.8445,均P＜0.01）.结论 改良腹腔镜技术明显提高前列腺癌根治术后患者的控尿能力.
Objective To study the effect of improved laparoscopic techniques on ability of control urine in patients with prostate cancer. Methods 96 patients with prostate cancer were randomly divided into two groups, the observation group （51 cases） and the control group（45 cases）. The patients in the control group were operated through the conventional treatment, while the patients in the observation group were operated through the improved laparoscop- ic technique,which protected the external urethral sphincter, reserved urinary nerve and reconstructed the bladder neck. The ability to control urine for 30,60 and 90 days were compared between two groups. Results The time of op- eration and bleeding of operation had no significant differences between two groups（ all P 〉 0.05 ）. There were signifi- cant differences between two groups in indwelling catheter time and the ability to control urine for 30,60 and 90 days （t=10. 0359,P〈0. 05;t=7.9746,14.0205,10.8445,al! P〈0.01）. Conclusion Improved laparoscopic tech- nique can improve the ability of control urine in patients with prostate cancer after operation.
出处
《中国基层医药》
CAS
2013年第15期2273-2275,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
前列腺肿瘤
腹腔镜
控尿能力
Prostate neoplasms
Laparoscope
The ability to control urine
