摘要
目的探讨腹腔镜根治性膀胱切除术(RC)对膀胱癌患者预后的临床效果。方法选择膀胱癌男性患者84例为研究对象,按照手术方式不同分为腹腔镜组(42例)和开放式组(42例)。腹腔镜组行腹腔镜根治性膀胱切除术(LRC)治疗,开放式组行开放式根治性膀胱切除术(ORC)治疗。观察两组术后治疗结果(术中出血量、住院时间、肛门排气时间)、术后并发症(切口感染、皮下血肿、尿漏),记录术后3个月时性功能[勃起功能指数(IIEF)]。结果腹腔镜组住院时间、肛门排气时间均短于开放式组,且术中出血量、并发症发生率小于开放式组(P<0.05)。术后3个月时,腹腔镜组IIEF评分高于开放式组(P<0.05)。结论LRC能减少术后并发症,改善患者术后性功能,有利于预后恢复。
Objective To investigate the clinical effect of laparoscopic radical cystectomy(RC)on the prognosis of patients with bladder cancer.Methods A total of 84 male patients with bladder cancer who were admitted to our hospital were enrolled in the study.They were divided into laparoscopic group(42 cases)and open group(42 cases)according to different surgical methods.Laparoscopic radical cystectomy(LRC)was conducted in the laparoscopic group and open radical cystectomy(ORC)was conducted in the open group.The postoperative treatment results(intraoperative blood loss,hospital stay,anal exhaust time)and postoperative complications(incision infection,subcutaneous hematoma,and urine leakage)were observed.Sexual function[erectile function index(IIEF)]was recorded at 3 months after surgery.Results The length of hospital stay and anal exhaust time in the laparoscopic group were shorter than those in the open group,and the intraoperative blood loss and complication rate were lower than those in the open group(P<0.05).At 3 months postoperatively,the IIEF score in the laparoscopic group was higher than that in the open group(P<0.05).Conclusion LRC can reduce postoperative complications,improve postoperative sexual function,and facilitate prognosis recovery.
作者
耿闻凯
张军杰
张明
Geng Wenkai;Zhang Junjie;Zhang Ming(General Hospital of Anyang Iron and Steel Group,Anyang 455004,China)
出处
《哈尔滨医药》
2020年第4期319-320,共2页
Harbin Medical Journal
关键词
腹腔镜
根治性膀胱切除术
膀胱癌
术后并发症
性功能
Laparoscopic
Radical cystectomy
Bladder cancer
Postoperative complications
Sexual function
