根治性前列腺切除术中尿控相关结构解剖及术中保护技巧

Urinary continence-related structures and intraoperative protective techniques in radical prostatectomy

根治性前列腺切除术(RP)是治疗早期前列腺癌的标准方法,但术后往往发生尿失禁等并发症,严重影响患者生活质量。术中尿控结构的保护及重建是降低尿失禁发生率,帮助患者恢复尿控功能的重要手段。本文对RP的手术方式、尿控相关结构(膀胱颈、功能尿道、相关支持结构以及神经与血管)解剖及术中保护技巧进行综述,为实现早期前列腺癌治疗“五连胜”提供参考。

Radical prostatectomy(RP)is the standard treatment for patients with early-stage of prostate cancer,but often causes urinary incontinence and other complications,which harm patients quality of life.The protection and reconstruction of urinary continence-related structures during the operation are significant approaches to reduce the incidence of urinary incontinence and restore urinary continence.This article reviewed the surgical approaches of radical prostatectomy,anatomy of urinary continence-related structures(bladder neck,functional urethra,supporting structures,nerves and vessels)and the protective skills,hoping to provide reference for the treatment of early-stage prostate cancer.