腹腔镜前列腺癌根治术后尿控影响因素分析

doi:10.19558/j.cnki.10-1020/r.2019.06.006

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摘要 目的：探讨前列腺癌患者行腹腔镜前列腺癌根治（LRP）术后控尿状况并分析其影响因素。方法：回顾性分析126例行LRP术治疗的前列腺癌患者临床资料,观察其术后控尿恢复情况,探讨影响患者术后控尿状况的相关因素。结果：126例前列腺癌患者移除尿管后恢复控尿者11例（8.73%）,术后3个月恢复控尿者68例（53.97%）,6个月恢复控尿者104例（82.54%）,1年后恢复控尿者121例（96.03%）。在移除尿管后和术后3、6个月时,不同控尿状况的患者在年龄、前列腺体积、术前IPSS评分以及保留前列腺部尿道、保留膀胱颈和保留血管神经束方面,差异有统计学意义（P<0.05）。年龄、术前IPSS评分、保留前列腺部尿道、保留膀胱颈、保留血管神经束是影响前列腺癌患者术后早中期控尿恢复状况的重要因素（P<0.05）;前列腺体积则是影响移除尿管后控尿状况的关键因素（P<0.05）。结论：前列腺癌患者的年龄、术前IPSS评分、前列腺体积以及术中前列腺部尿道、膀胱颈、是否保留血管神经束均会影响患者术后控尿状况的恢复。

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	李刚
	蒲永昌
	刘林海

关键词 ：腹腔镜前列腺癌根治术, 前列腺癌, 控尿, 影响因素

Abstract：Objective： To explore the urinary continence following laparoscopic radical resection of prostate cancer and its influencing factors. Methods： The clinical data of 126 patients with prostate cancer treated with laparoscopic radical resection were retrospectively analyzed. The recovery of urinary continence was observed. The related factors affecting the recovery of postoperative urinary continence were explored. Results： Among the 126 patients with prostate cancer, urine continence of 11 cases (8.73%) recovered after removal of urinary tube, 68 (53.97%) at 3rd month, 104 (82.54%) at 6th month and 121 (96.03%) at 1st year. Age, prostate volume, preoperative IPSS score, retention of the prostate urethra, retention of the bladder neck, retention of the vascular and nerve bundles showed statistically significant differences in patients with different urinary control conditions after removal of the urinary tube and at 3rd and 6th months after surgery (P < 0.05). Age, preoperative IPSS score, retention of the prostate urethra, retention of bladder neck, and retention of vascular and nerve tract were important factors affecting the recovery of urinary continence in patients with prostate cancer after operation (P < 0.05). Prostate volume was also a key factor affecting urinary control after removal (P < 0.05). Conclusions： Age, preoperative IPSS score, prostate volume and retention of the prostate urethra, bladder neck, and vascular and nerve bundle during operation all influence the postoperative urinary control in patients with prostate cancer.

Key words： laparoscopic radical prostatectomy prostate cancer urinary continence influencing factors

收稿日期: 2019-06-11

ZTFLH:

R737.25

通讯作者: 蒲永昌,344357076@qq.com

引用本文:

李刚, 蒲永昌, 刘林海. 腹腔镜前列腺癌根治术后尿控影响因素分析[J]. 微创泌尿外科杂志, 2019, 8(6): 385-389.
LI Gang, PU Yongchang, LIU Linhai. Analysis of influencing factors of urinary control after laparoscopic radical prostatectomy in patients with single operator. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(6): 385-389.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1548.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2019/V8/I6/385

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