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。
Objective To investigate the clinical efficacy of laparoscopic radical resection of prostate cancer in the patients with early localized prostate cancer.Methods Sixty-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.
作者
杨玥
YANG Yue(Department of Urology,Affiliated General Hospital of Tiefa Coal Industry Group of Shenyang Medical College,LiaoningProvince,Tieling 112700,Chin)
出处
《中国当代医药》
2018年第14期82-84,共3页
China Modern Medicine
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
Early localized prostate cancer
Laparoscopic radical resection of prostate cancer
Effect observation
