摘要
目的探讨前列腺穿刺术后短期内行腹腔镜前列腺癌根治术的效果分析。方法选取阳江市人民医院泌尿外科2018年3月至2020年3月收治的患者68例为研究对象,并对以上患者进行回顾性分析,以上患者均进行前列腺穿刺术和腹腔镜前列腺癌根治术。按照行穿刺术与腹腔镜前列腺癌根治术的间隔时间不同分为两组,其中研究组34例患者为穿刺后6周内手术,对照组34例患者则在6周后手术。术后对两组患者的术中指标(手术耗时、出血量、住院天数、手术切缘阳性率、术中出血量和术后尿失禁情况)进行比较分析,并观察术后3个月、6个月、12个月尿控情况,观察治疗前后的前列腺体积、IL-6、IL-10水平的变化情况。结果两组患者均顺利经过腹腔镜前列腺癌根治术,经过6个月跟踪随访记录得知,研究组34例患者的手术时间为(159.8±45.2)min,术中出血量为(178.9±89.3)ml,术后住院时间为(8.8±1.2)d,切缘阳性率为20.5%,术后出现尿失禁的情况为3例,占比8.8%;对照组34例患者的手术时间为(158.9±48.5)min,术中出血量为(179.7±60.1)ml,术后住院时间为(8.8±1.5)d,切缘阳性率为17.6%,术后出现尿失禁的情况为3例,占比8.8%,两组患者指标比较,差异无统计学意义(P>0.05);两组患者术后3个月、6个月、12个月尿控率比较,差异无统计学意义(P>0.05)。治疗12个月后,两组患者前列腺体积、IL-6、IL-10水平比较,差异无统计学意义(P>0.05)。结论在泌尿外科的临床治疗中,如患者已经进行前列腺穿刺术,且仍需采取腹腔镜前列腺癌根治术进行治疗时,可以选择在穿刺后6周内进行,对手术的操作难度和效果均无影响,且在短期内进行手术还具有缩短患者康复时间的优势,建议推广。
Objective To investigate the effect of laparoscopic radical prostatectomy in a short period after prostate puncture.Methods A total of 68 patients admitted to the Department of Urology in People's Hospital of Yangjiang from March 2018 to March 2020 were selected as the study objects and were retrospectively analyzed.All of the above patients underwent prostate puncture and laparoscopic radical prostatectomy.According to the different time interval between prostate puncture and laparoscopic radical prostatectomy,the patients were divided into two groups.34 cases in the study group received operation within 6 weeks after prostate puncture,and 34 cases in the control group received operation after 6 weeks.The intraoperative indicators(operation time,blood loss,hospitalization days,positive surgical margin rates,intraoperative blood loss and postoperative urinary incontinence)of the two groups of patients were compared and analyzed.Urinary control conditions at 3 months,6 months and 12 months after the operation were observed,and the changes in prostate volume,IL-6 level and IL-10 level before and after treatment were observed.Results Both groups of patients successfully underwent laparoscopic radical prostatectomy.After 6 months of follow-up,it was found in the study group that the operation time of the 34 patients was(159.8±45.2)min,the intraoperative blood loss was(178.9±89.3)ml,the postoperative hospital stay was(8.8±1.2)days,the positive surgical margin rate was 20.5%,and 3 cases of urinary incontinence occurred after operation,accounting for 8.8%;in the control group,the operation time of 34 patients was(158.9±48.5)min,the intraoperative blood loss was(179.7±60.1)ml,the postoperative hospital stay was(8.8±1.5)days,the positive surgical margin rate was 17.6%,and 3 cases of urinary incontinence occurred after operation,accounting for 8.8%.In the above comparison of the indicators between the two groups of patients,there were no statistically significant differences(P>0.05).There was no significant differenc
作者
冯能卓
何京伟
谭美华
梁其炎
关文峰
FENG Nengzhuo;HE Jingwei;TAN Meihua;LIANG Qiyan;GUAN Wenfeng(Department of Urology,the People's Hospital of Yangjiang,Guangdong,Yangjiang 529500,China)
出处
《中国医药科学》
2021年第18期194-197,共4页
China Medicine And Pharmacy
基金
广东省阳江市科技计划项目(社发[2018]22)。
关键词
前列腺穿刺术
短期
腹腔镜
前列腺癌根治术
Prostate puncture
Short period
Laparoscopy
Radical prostate ctomy
