腹腔镜前列腺癌根治术治疗早期局限性前列腺癌的效果

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摘要目的探讨临床收治的早期局限性前列腺癌应用腹腔镜前列腺癌根治术治疗的临床效果。方法选择我院泌尿外科2016年6月～2017年6月收治的62例早期局限性前列腺癌患者作为研究对象，按照随机数字表法分为观察组（31例）对照组（31例），观察组采用腹腔镜前列腺癌根治术治疗，对照组采用传统开放手术治疗，对比两组手术情况、术后尿流动力学指标。结果观察组手术操作用时、术后胃肠功能恢复时间、引流管拔除时间、平均住院时间均短于对照组（P＜0.05），术中出血量少于对照组（P＜0.05）。观察组术后尿流动力学指标膀胱顺应性（BC）、残余尿量（PVR）、最大尿流率（Qmax）等检测结果均优于对照组（P＜0.05）。观察组术后并发症发生率明显低于对照组，随访6个月生活质量评分明显高于对照组，差异均有统计学意义（P＜0.05）。结论对临床收治的早期局限性前列腺癌应用腹腔镜前列腺癌根治术方案治疗，可显著改善手术质量，加快康复进程，改善尿流动力学，提高远期生存质量，有较高安全性，有较高推广应用价值。

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	杨玥

关键词 ：早期局限性前列腺癌, 腹腔镜前列腺根治术, 效果观察

Abstract：Objective To investigate the clinical efficacy of laparoscopic radical resection of prostate cancer in the patients with early localized prostate cancer.MethodsSixty-two patients with early-stage localized prostate cancer who were admitted to the department of urology in our hospital from June 2016 to June 2017 were selected as the study subjects.According to the random number table method,they were divided into observation group (31 cases)and control group (31 cases).The observation group was given laparoscopic radical resection of prostate cancer.The control group was given traditional open surgery for treatment.The operation situation and postoperative urodynamic parameters were compared between the two groups.Results Compared with the control group,the time of surgical operation,bleeding time during the surgical operation,the recovery time of postoperative gastrointestinal function,the removal time of drainage tube,and the average length of hospital stay in the observation group were shorter than those in the control group,bleeding time during the surgical operation was lesser than those in the control group and the differences were statistically significant(P＜0.05）.The testing results of postoperative urodynamic parameters such as BC,PVR,Qmax in the observation group were all better than those in the control group after the surgery,and the difference was statistically significant(P＜0.05）.The postoperative complication rate in the observation group was significantly lower than that in the control group.The quality of life scores at the 6-month follow-up period were significantly higher than those in the control group，and the differences were statistically significant(P ＜0.05）.Conclusion For the patients with early localized prostate cancer who have undergone clinical treatment,the application of laparoscopic radical section of prostate cancer can significantly improve the quality of surgery,accelerate the recovery process,improve urodynamics,improve long-term quality of life,and have a high degree of safety,which has a higher value of promotion and application.

Key words： Early localized prostate cancer Laparoscopic radical resection of prostate cancer Effect observation

引用本文:

杨玥. 腹腔镜前列腺癌根治术治疗早期局限性前列腺癌的效果[J]. 中国当代医药, 2018, 25(14): 82-84.
YANG Yue. Effect of laparoscopic radical resection of prostate cancer in the treatment of early localized prostate cancer. 中国当代医药, 2018, 25(14): 82-84.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I14/82

[4]	姚史武，何强，林毅锋.腹腔镜下前列腺癌根治术与常规开腹手术治疗早期局限性前列腺癌的临床疗效比较[J].山西医药杂志，2015，44（10）：1098-1100.
[1]	何安仁，宋洪飞，史涛坪.腹腔镜筋膜内与筋膜间保留神经切除法治疗早期局限性前列腺癌的比较[J].现代医院，2017，17（11）：1676-1678.
[2]	卢慕峻，张克，张明，等.高危及局部晚期前列腺癌新辅助治疗后行腹腔镜下前列腺癌根治术的临床体会[J].中华临床医师杂志（电子版），2015，9（2）：12-15.
[3]	谢立平，王潇，郑祥义，等.耻骨后根治性前列腺切除术与标准腹腔镜下根治性前列腺切除术疗效比较的荟萃分析[J].中华泌尿外科杂志，2015，36（8）：615-619.
[5]	赵志刚.经耻骨后前列腺癌根治术与腹腔镜前列腺癌根治术治疗早期局限性前列腺癌对比研究[J].医药论坛杂志，2017，38（6）：103-105.
[6]	黄红星，李志坚，曹彬，等.腹腔镜前列腺癌根治术治疗早期局限性前列腺癌的疗效[J].中国老年学杂志，2013，8（33）：3789-3790.
[7]	祁小龙，刘锋，张琦，等.腹腔镜前列腺癌根治术结合内分泌辅助方法治疗高危前列腺癌的初步研究[J].中国内镜杂志，2014，20（9）：897-901.
[8]	张威，周铁，王海峰，等.保留神经的机器人辅助腹腔镜前列腺癌根治术研究进展[J].现代泌尿外科杂志，2014，19（2）：133-135.
[9]	李军，张雪培，王智勇.腹膜外途径腹腔镜前列腺癌根治术的临床体会[J].中国实用医刊，2013，40（11）：53-55.
[10]	丁炜宏，夏国伟.腹腔镜前列腺癌根治术常见并发症及处理方法[J].国际外科学杂志，2014，41（1）：65-66.
[11]	杨国强，宋涛，张旭，等.经腹膜外途径腹腔镜前列腺癌根治术5年疗效分析[J].微创泌尿外科杂志，2013，2（4）：253-255.
[12]	谈宜傲，周林玉，陈昊，等.经腹膜外腹腔镜前列腺癌根治术的临床分析[J].中国综合临床，2015，31（11）：1032-1034.
[13]	刘瑞剑，李银东.前列腺增生症患者手术治疗前尿动力学检查 126 例分析[J].中国误诊学杂志，2011，11（10）：2428.
[14]	胡文豪，周小波.经腹腔镜途径腹腔镜下前列腺癌根治术（TLRP）与开放性手术的对照研究[J].中国现代医生，2015，53（12）：12-15.
[15]	黎志钦，吴爱明.筋膜内与筋膜间保留神经的腹膜外腹腔镜前列腺癌根治术[J].临床和实验医学杂志，2016，15（9）：886-889.