摘要
目的探讨不同途径腹腔镜前列腺癌根治术治疗前列腺癌的临床效果。方法选择2016年3月至2018年3月80例前列腺癌患者,随机分组。根据治疗方式不同,分为经腹膜外途径腹腔镜前列腺癌根治术组和经腹腔途径腹腔镜前列腺癌根治术组,比较结果。结果经腹腔途径腹腔镜前列腺癌根治术组患者前列腺症状积分、SF-36量表总分好于经腹膜外途径腹腔镜前列腺癌根治术组,P <0.05。手术所需的时间、手术后尿管留置的时间、手术后恢复流食进食的时间、手术之后引流管拔出时间、住院的时间两组比较无差异,P> 0.05。经腹腔途径腹腔镜前列腺癌根治术组患者的并发症(5/50)类似于经腹膜外途径腹腔镜前列腺癌根治术组(3/30),P> 0.05。结论采取经腹腔途径腹腔镜前列腺癌根治术治疗后,前列腺癌患者的病情明显改善,生存质量明显改善,是一种值得推广的治疗模式。
Objective To investigate the clinical effects of different approaches laparoscopic radical prostatectomy in the treatment of prostate cancer.Methods Eighty patients with prostate cancer from March 2016 to March 2018 were randomly divided into two groups.According to the diff erent treatment methods,the patients were divided into two groups:extraperitoneal laparoscopic radical prostatectomy group and transabdominal laparoscopic radical prostatectomy group,and the results were compared.Results The prostate symptom score and the total score of SF-36 in the transabdominal laparoscopic radical prostatectomy group were better than those in the extraperitoneal laparoscopic radical prostatectomy group(P<0.05).There was no signifi cant diff erence in the time needed for operation,the time of indwelling catheter after operation,the time of resuming liquid food after operation,the time of pulling out drainage tube after operation and the time of hospitalization between the two groups(P>0.05).The complications of transabdominal laparoscopic radical prostatectomy group were similar to those of extraperitoneal laparoscopic radical prostatectomy group(P>0.05).Conclusion Use transabdominal laparoscopic radical prostatectom,the condition and quality of life of patients with prostate cancer were significantly improved,which is a treatment mode worthy of promotion.
作者
王艳龙
杜浩
于广海
WANG Yanlong;DU Hao;YU Guanghai(Department of Urology,Dalian Central Hospital,Dalian 116033,China)
出处
《中国医药指南》
2020年第28期97-98,共2页
Guide of China Medicine
关键词
前列腺癌
腹腔镜前列腺癌根治术
临床效果
经腹腔途径
经腹膜外途径
Prostate cancer
Laparoscopic radical prostatectomy
Clinical effect
Transabdominal approach
Extraperitoneal approach
