前列腺癌腹腔镜手术与经典手术的比较

The Comparative analysis between laparoscopic surgery and classical surgery for prostate cancer

目的探讨前列腺癌腹腔镜手术与经典手术的不同。方法回顾性分析该院确诊为前列腺癌的患者100例,采用传统前列腺癌根治术患者50例作为对照组,使用腹腔镜下前列腺癌根治术患者50例作为观察组。比较2组患者的手术时间、住院时间、出血量,同时比较尿失禁、术后勃起等并发症发生率。结果观察组患者住院时间低于对照组,差异有统计学意义(t=0.538,P<0.05);观察组手术时间大于对照组,差异有统计学意义(t=0.673,P<0.05);观察组出血量低于对照组,差异有统计学意义(t=0.832,P<0.05);观察组患有术后勃起功能障碍等并发症发生率低于对照组,差异有统计学意义(χ~2=6.819,P<0.05);观察组尿失禁、尿道狭窄等并发症发生率与对照组比较,差异无统计学意义(χ~2=0.03,P>0.05);观察组尿道狭窄等并发症发生率与对照组比较,差异无统计学意义(χ~2=0.08,P>0.05)。结论腹腔镜前列腺癌手术可减少患者的住院时间,降低术中出血量,减少术后并发症发生率,但手术时间大于传统手术。

Objective To investigate the imparity of laparoscopic radical prostatectomy and traditional radical prostatectomy.Methods A retrospective analysis of 100 cases of prostate cancer was analyzed.Fifty patients undergoing radical prostatectomy were selected as the control group.Fifty patients undergoing laparoscopic radical prostatectomy in were selected as experimental group.The operation time,hospitalization time and blood loss were analyzed statistically.The complications of urinary incontinence and postoperative erectile were compared.Results The hospitalization time in the experimental group were significantly lower than those in the control group,the results were statistically significant （t=0.538,P〈0.05）;The operation time of the experimental group was significantly higher than which in the control group,the results were statistically significant（t=0.673,P〈0.05）;the amount of bleeding in the experimental group than which in control group,the results were statistically significant （t=0.832,P〈0.05）;the experimental group had postoperative complications such as erectile dysfunction rate lower than which of the control group,the result is statistical significance（χ2=6.819,P〈0.05）.The urinary incontinence,urinary tractthe in thr experimental group with were roughly same with those in the control group,the result was not statistically significant （χ2=0.03,P〉0.05）.The complications such as urethral stricture in experimental group was roughly the same as those in the control group,results were not statistically significant （χ2=0.08,P〉0.05）.Conclusion Compared with raditional prostate cancer,the aparoscopic radical resection can reduce hospitalization time,reduce bleeding during operation,reduce the incidence of postoperative complications,but the operation time is still higher than that of traditional surgery.