摘要
目的总结行保留Retzius间隙的机器人辅助前列腺癌根治术(RSRARP)患者的术前资料,分析影响术后短期尿控恢复的可能因素。方法收集了2016年12月至2017年10月90例行RSRARP患者的术前临床资料,通过随访术后的尿控恢复情况,对可能与尿控相关的因素进行统计学分析。结果 90例患者术后1周内尿控恢复人数为67人,尿控恢复率为74.4%,其中年龄、体质指数(BMI)、术前总前列腺特异抗原(tPSA)、Gleason评分、临床分期和美国东部肿瘤协作组(ECOG)体能状态评分对术后短期尿控恢复没有明显统计学意义。而90例患者平均前列腺体积为(41.8±19.6)mL,平均术前扩展前列腺癌复合指数-泌尿症状(EPIC)评分为90.9±10.1,较高的术前EPIC尿控评分(OR=0.294,95%CI=0.094~0.916,P<0.05)和较小的前列腺体积(OR=6.694,95%CI=2.310~19.397,P<0.05)意味着较高的术后短期尿控恢复率。结论患者前列腺体积与术前EPIC评分是RSRARP术后短期尿控的重要影响因素,可以一定程度上预测术后尿控的恢复情况。
Objective To explore the possible preoperative predictors of early continence after Retzius-sparing robot-assisted prostatectomy（RSRARP）.Methods The preoperative data of 90 patients undergoing RSRARP during Sept.2016 and Sept.2017 were collected.The continence of patients was followed up to analyze the possible factors associated with early continence.Results Of all 90 patients,67（74.4%）regained continence one week after the surgery.No correlation was found between postoperative early continence and age,total prostate specific antigen（tPSA）,Gleason score,clinical stage and ECOG score.The mean volume of prostate EPIC were（41.8±19.6）mL and（90.9±10.1）.Higher preoperative EPIC（OR=0.294,95%CI=0.094-0.916,P〈0.05）and lower volume of prostate（OR=6.694,95%CI=2.310-19.397,P〈0.05）were significantly related to better early continence.Conclusion The volume of prostate and EPIC and are significant predictive factors of the early continence after RSRARP.
作者
马浩鑫
邱雪峰
徐林锋
甘卫东
张古田
李笑弓
郭宏骞
MA Hao -xin;QIU Xue -feng;XU Lin- feng;GAN Wei- dong;ZHANG Gu -tian;LI Xiao -gong;GUO Hong- qian(Graduate School,Medical School of Southeast University,Nanjing 210009;Department of Urology,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008,China)
出处
《现代泌尿外科杂志》
CAS
2018年第7期525-529,共5页
Journal of Modern Urology
