盆筋膜腱弓重建对腹腔镜前列腺癌根治术后尿控的影响

The effect of pelvic fascia tendon arch reconstruction on urinary control after laparoscopic radical prostatectomy

目的分析实施盆筋膜腱弓重建对腹腔镜前列腺癌根治术后尿控的临床效果。方法以2015年1月至2016年9月本科室收治的40例前列腺癌患者为研究对象,平均分为两组分别为重建组和对照组,每组各20例,重建组实施盆筋膜腱弓重建腹腔镜前列腺癌根治术,对照组实施常规腹腔镜前列腺癌根治术,比较两组患者术后拔除尿管后第1天、1个月、3个月、6个月患者是的尿控现象。结果经过对研究结果的比较重建组患者术后拔管第1天、1个月、3个月、6个月尿控率分别为1(5.0%).7(35.0%)、15(75.0%)、19(95.0%)6个月左右明显优于对照组1(5.0%)、4(20.0%)、11(55.0%)、18(90.0%),P<0.05,差异存在统计学意义。结论对患者实施盆筋膜腱弓重建技术能够有效的改善患者腹腔镜前列腺癌术后的早期尿控恢复情况,对长期改善效果不明显。

objective to analyze the implementation of the basin fascia tendinous arch reconstruction on the clinical effect of laparoscopic radical prostate cancer postoperative urinary control.Methods in January 2015 to September 2016 undergraduate course room of40 patients with prostate cancer as the research object,the average is divided into two groups,respectively reconstruction group and the control group,each group 20 cases,reconstruction group implement basin fascia tendinous arch reconstruction of laparoscopic radical prostatectomy,prostate cancer control implementation of conventional laparoscopic radical prostatectomy,prostate cancer compared two groups of patients with postoperative urethral urine tube after 1 day,1 month,3 months,6 months yes in patients with urinary control.Results after comparing the results of the study reconstruction group patients postoperative extubation 1 day,1 month,3 months,6 months of urinary control rate was 1(5.0%),respectively.7(35.0%),15(75.0%),19(95.0%),6 months or so is superior to control group 1(5.0%),4(20.0%),11(55.0%),18(90.0%),P< 0.05,differences are statistically significant.ConclusionFor patients with basin fascia tendinous arch reconstruction technology can effectively improve the laparoscopic postoperative early prostate cancer patients with urinary control recovery,to improve long-term effect is not obvious.