摘要
目的比较前列腺癌患者应用经腹与经腹膜外腹腔镜根治术的临床效果。方法采用回顾性分析,收集接受腹腔镜根治术的140例前列腺癌患者临床资料,依据手术方式不同分为经腹组(n=70)与经腹膜外组(n=70),所有患者术后均接受6个月随访。由研究者设计基线资料调查表,详细收集患者一般资料、围术期指标(术中出血量、手术时长、肠道功能恢复时间、术后尿管拔除时间),同时统计2组患者术前及术后6个月时控尿率、最大尿流率及术后6个月内并发症发生情况。结果经腹膜外组术中出血量、肠道功能恢复时间、术后尿管拔除时间均低于经腹组,而手术时间长于经腹组,差异具有统计学意义(P<0.05)。2组术前控尿率及最大尿流率对比,差异无统计学意义(P>0.05);术后6个月,经腹膜外组控尿率及最大尿流率均大于经腹组,差异具有统计学意义(P<0.05)。2组术后6个月内并发症发生率对比,经腹膜外组低于经腹组,差异具有统计学意义(P<0.05)。结论与经腹入路相比,经腹膜外行腹腔镜根治术可有效缩短前列腺癌患者肠道功能恢复时间及术后尿管拔除时间,且能够减少术中出血量,增强患者术后控尿能力,且并发症发生率较低,但手术时间较长,临床需依据患者情况选择合适的入路。
Objective To compare the clinical effects of transabdominal and extraperitoneal laparoscopic radical surgery in patients with prostate cancer.Methods A retrospective analysis was conducted to collect the clinical data of 140 patients with prostate cancer who underwent laparoscopic radical surgery.They were divided into 2 groups according to the different surgical methods:the transabdominal group(n=70)and the extraperitoneal group(n=70).All patients were followed up for 6 months after surgery.A baseline data questionnaire was designed by the researcher to collect detailed patient information and perioperative indicators(intraoperative blood loss,surgical duration,intestinal function recovery time,and postoperative catheter removal time).Urinary control rate and maximum urinary flow rate were also collected before and 6 months after surgery in both groups,and complications within 6 months after surgery were statistically analyzed.Results The amount of intraoperative bleeding,the recovery time of intestinal function,and the removal time of urinary catheter in the extraperitoneal group were lower than those in the transabdominal group,while the operation time was longer in the transabdominal group,with a statistical significant difference(P<0.05).There was no statistical significant difference in preoperative urinary control rate and maximum urinary flow rate between the 2 groups(P>0.05).At 6 months after surgery,the urinary control rate and maximum urinary flow rate in the extraperitoneal group were higher than those in the transabdominal group,with a statistical significant difference(P<0.05).The incidence of complications within 6 months after surgery in the 2 groups was lower in the extraperitoneal group than in the transabdominal group,with a statistical significant difference(P<0.05).Conclusion Compared with transabdominal approach,extraperitoneal laparoscopic radical surgery can effectively shorten the recovery time of intestinal function and postoperative catheter removal time in patients with prostate cancer
作者
尹茂轩
杨帮东
刘瑞强
YIN Maoxuan;YANG Bangdong;LIU Ruiqiang(Puyang People's Hospital,Puyang,457000)
出处
《实用癌症杂志》
2024年第8期1377-1380,共4页
The Practical Journal of Cancer
关键词
前列腺癌
腹腔镜根治术
经腹膜外入路
经腹入路
控尿能力
Prostate cancer
Laparoscopic radical surgery
Extraperitoneal approach
Transabdominal approach
Urinary control ability
