腹腔镜前列腺癌根治术保留部分近端前列腺部尿道对术后早期尿控恢复的影响

目的：探讨腹腔镜前列腺癌根治术保留部分近端前列腺部尿道对术后早期尿控恢复的影响，以期为该类疾病的治疗提供参考。方法：选取2013年4月~2015年9月在我院就诊的前列腺癌患者52例，其中28例患者行腹腔镜前列腺癌根治术保留部分近端前列腺部尿道，设为治疗组，24例患者行腹腔镜前列腺癌根治术非保留部分近端前列腺部尿道，设为对照组。比较两组患者围手术期临床参数和早期尿控基本正常例数。结果：治疗组患者手术时间、术中出血量、留置导尿管时间、切缘阳性、近期并发症、住院天数与对照组比较，无明显差异；治疗组0、14、30、90d尿控基本正常例数与对照组比较，差异具有统计学意义。结论：腹腔镜前列腺癌根治术保留部分近端前列腺部尿道与非保留部分近端前列腺部尿道的临床效果相近，但能明显增加患者术后早期尿控的恢复，值得临床合理选用。

Effect of laparoscopic radical prostatectomy on the early postoperative urinary control in patients with partial proximal end of the prostate

Objective To investigate the effect of laparoscopic radical prostatectomy in the treatment of early postoperative urinary control in patients with benign prostatic carcinoma, and to provide reference for the treatment of the disease. Meth-ods 52 cases of prostate cancer patients in our hospital from September to April 2013 were selected, including 28 patients who underwent laparoscopic radical prostatectomy to retain part of the proximal end of the prostate urethra, as the treatment group, 24 patients underwent laparoscopic radical prostatectomy for non retained part of the proximal end of the prostate urethra, as control group, cases were treated with laparoscopic radical prostatectomy. Compared with the two groups of patients with peri-operative clinical parameters and early urinary control of the basic normal cases. Results The operation time, bleeding volume, indwelling catheter time, positive resection margin, recent complications, hospital days and the control group, the difference was not statistically significant;treatment group 0, 14, 90d urinary control basic normal cases and the control group, the difference was statistically significant. Conclusion The clinical effect of laparoscopic radical prostatectomy is similar to the clinical results of proximal urethra and non retained part of proximal urethra, but it can significantly increase the recovery of early postoperative urinary control, which is worthy of clinical use.