微创医学

目的观察保留膀胱颈在腹腔镜根治性前列腺切除术后早期控尿中的临床效果。方法对接受手术治疗的80例前列腺癌患者的临床资料进行回顾性分析，患者均接受腹腔镜根治性前列腺切除术，其中对照组（38例）不保留膀胱颈，观察组（42例）保留膀胱颈。比较两组患者的术后早期控尿效果。结果两组患者的手术耗时、术中出血量、术后导尿管留置时间、术后病理分期、切缘阳性率及膀胱颈狭窄率差异均无统计学意义（均P＞0.05）。观察组术后1个月、3个月控尿率均高于对照组（均P＜0.05）；术后6个月，两组控尿率差异无统计学意义（P＞0.05）。结论行腹腔镜根治性前列腺切除术时保留膀胱颈有利于改善术后早期控尿功能，且安全性高，值得推广。

ObjectiveTo observe the clinical effect of preserving the neck of bladder in the early urinary continence after laparoscopic radical prostatectomy. MethodsThe clinical data of 80 patients with prostate cancer undergoing surgical therapy were retrospectively analyzed. All of the patients received laparoscopic radical prostatectomy, of which the control group (38 cases) did not preserve the neck of bladder, whereas the observation group (42 cases) with the neck of bladder preservation. The effect of postoperative early urinary continence was compared between the two groups. ResultsThere were no statistically significant differences in operation duration, intraoperative bleeding volume, postoperative catheter indwelling time, postoperative pathological staging, and the rates of positive margin and bladder neck stricture between the two groups (all P＞0.05). The rates of urinary continence 1 and 3 months after operation were all higher in the observation group than in the control group (all P＜0.05). Six months after the operation, there was no statistically significant difference in the urinary continence rate between the two groups (P＞0.05). ConclusionThe neck of bladder preservation during laparoscopic radical prostatectomy is beneficial to improve postoperative early urinary continence, which is highly safe and worthy of promotion.