筋膜内与筋膜间保留性神经前列腺癌根治术对患者术后性功能及尿控影响的比较研究

目的探索T1、T2期前列腺癌患者行筋膜内保留性神经前列腺癌根治术对患者术后性功能和尿控恢复的影响。方法回顾性分析2016年10月至2018年12月在南通大学附属海安医院进行保留性神经的前列腺癌根治术的T1、T2期患者的临床资料，根据手术方式的不同分为筋膜内组（38例）与筋膜间组（45例），比较筋膜内组与筋膜间组术后尿控及性功能恢复情况。结果筋膜内组在术后3个月、6个月、12个月，患者尿失禁发生率低于筋膜间组（P<005），尿控恢复情况好于筋膜间组，且随着时间推移，两组尿控情况均好转，但筋膜内组更优效，两组比较差异有统计学意义（P<005）；筋膜内组术后12个月患者勃起功能正常比例高于筋膜间组（P<005）。结论T1、T2期前列腺癌患者筋膜内保留性神经前列腺癌根治术后3、6、12个月，尿控恢复好于筋膜间组，尿失禁发生率低于筋膜间组，术后12个月患者性功能恢复也优于筋膜间组。

The effect of radical operation on sexual function and urinary control in patients with Radical resection of intrafascial nerve sparing prostate cancer

Objective: To explore the effect of intrafascial nerve sparing radical prostatectomy on the recovery of sexual function and urinary control in patients with stage T1-T2 prostate cancer. Methods: 83 patients with T1-T2 prostate cancer who were operated in our hospital from October 2016 to December 2018 were analyzed retrospectively. According to the different operation methods, they were divided into two groups: intrafascial group and interfascial group. The urinary control and sexual function recovery of patients with T1-T2 anterior row adenocarcinoma were compared between intrafascial and interfascial group. Results: the incidence of urinary incontinence in the intra fascial group was lower than that in the inter fascial group (P < 0.05). The recovery of urine control in the operation group was better than that in the operation group (P < 0.05). The proportion of erectile function in 12 months after operation was higher than that in the inter fascial group (P < 0.05). Conclusion: The recovery of urinary control in patients with stage T1-T2 prostate cancer after intrafascial nerve sparing radical operation is better and the incidence of urinary incontinence is lower than that in the inter fascial group. The recovery of sexual function in patients with stage T1-T2 prostate cancer after 12 months is better than that in the inter fascial group.