摘要
目的:分析耻骨后根治性前列腺切除术治疗前列腺癌的临床效果。方法:选取2019年10月-2020年6月本院收治的12例前列腺癌患者作为研究对象,随机分为两组,A组给予耻骨后逆行根治性前列腺切除术,B组给予耻骨后顺行根治性前列腺切除术,比较两组治疗效果。结果:A组手术时间长于B组,术中出血量多于B组,差异均有统计学意义(P<0.05)。两组治疗前前列腺特异抗原(PSA)、最大尿流率比较,差异无统计学意义(P>0.05);两组治疗后PSA均低于治疗前,最大尿流率均高于治疗前,差异有统计学意义(P<0.05),且B组最大尿流率高于A组,差异有统计学意义(P<0.05)。结论:针对前列腺癌患者采用耻骨后顺行根治性前列腺切除术,其手术时间更短,术中出血量更少,膀胱逼尿肌功能良好,值得推广。
Objective:To analyze the clinical effect of retropubic radical prostatectomy in the treatment of prostate cancer.Method:A total of 12 cases of prostate cancer patients in our hospital from October 2019 to June 2020 were selected and randomly divided into two groups.The group A was given retropubic retrograde radical prostatectomy,and the group B was given retropubic antegrade radical prostatectomy.Compared the effect of the two groups.Result:The operation time of group A was longer than that of group B,and the intraoperative blood loss was more than that of group B,the differences were statistically significant (P<0.05).The differences of prostate specific antigen (PSA) and maximum urine flow rate between the two groups before treatment were not statistically significant (P>0.05).After treatment,the two groups of PSA were lower than before treatment,and maximum urine flow rate were higher than before treatment,the differences were statistically significant (P<0.05);the maximum urine flow rate of group B was higher than that of group A,and the difference was statistically significant (P<0.05).Conclusion:Retropubic anterograde radical prostatectomy for prostate cancer patients has shorter operation time,less intraoperative blood loss,and good bladder detrusor function,which is worthy of promotion.
作者
莫耀良
程勇谋
谭静
周增
MO Yaoliang;CHENG Yongmou;TAN Jing;ZHOU Zeng(Maoming Hospital of Traditional Chinese Medicine,Maoming 525000,China)
出处
《中外医学研究》
2020年第28期30-32,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
茂名市科技计划项目(190305221703921)。
