[1]施振凯,高旭,王海峰,等.机器人辅助筋膜内前列腺癌根治术对术后尿控影响的研究[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):8-12.[doi:10.3877/cma.j.issn.1674-3253.2016.01.003 ]
 Shi Zhenkai,Gao Xu,Wang Haifeng,et al.Urinary function of intrafascial robot-assisted laparoscopic radical prostatectomy[J].,2016,10(01):8-12.[doi:10.3877/cma.j.issn.1674-3253.2016.01.003 ]
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机器人辅助筋膜内前列腺癌根治术对术后尿控影响的研究()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年01期
页码:
8-12
栏目:
临床研究
出版日期:
2016-04-29

文章信息/Info

Title:
Urinary function of intrafascial robot-assisted laparoscopic radical prostatectomy
作者:
施振凯高旭王海峰王燕施挺鲁欣马春飞朱峰董振阳何必鸣常易凡侯建国许传亮孙颖浩
200433上海,第二军医大学附属长海医院泌尿外科
Author(s):
Shi Zhenkai Gao Xu Wang Haifeng Wang Yan Shi Ting Lu Xin Ma Chunfei Zhu Feng Dong Zhenyang He Biming Chang Yifan HouJianguo Xu Chuanliang Sun Yinghao.
Department of Urology, Changhai Hospital of Second Military Medical University, Shanghai 200433, china
关键词:
机器人前列腺肿瘤尿失禁
DOI:
10.3877/cma.j.issn.1674-3253.2016.01.003
摘要:
目的总结 21例行机器人辅助筋膜内前列腺癌根治术的患者资料,探讨该方法对患者术后尿控功能的影响。方法 2012年 4月至 2014年 10月,长海医院单一术者实施机器人辅助的腹腔镜下前列腺癌根治术 100例,其中筋膜内前列腺癌根治术 21例,21例中 4例在前列腺切除术后行盆内筋膜重建。4例患者术前临床分期均低于 T2期,平均 PSA为 11.1 ng/ml。在成功进行双侧筋膜内前列腺切除术后,应用尿道吻合剩余的倒刺线,自尿道吻合位置,将两侧剩余的盆内筋膜缝合,使膀胱颈口在两侧的盆内筋膜的挤压下形成一定长度的功能性尿道。结果患者术中出血量 50~600 ml,平均 260 ml,术中输血 1例,术后 14 d拔除导尿管。术后住院天数为 6~19 d,平均 9d。术后病理切缘阳性 5例,其中 4例为尖部阳性,包膜侵犯 2例,精囊腺侵犯 1例。术后 4周血清 PSA> 0.2 ng/ml 2例, <0.2 ng/ml 19例。随访 1~22个月,平均随访时间 12.4个月。本组 21例,术后 2周拔管排尿可控 6例,术后 1个月、3个月尿控有效率(以每天应用尿垫 ≤1块为标准)分别为 61.9%(13/21)和 90.5%(19/21)。结论选择肿瘤分期较早的患者,掌握一定的操作技巧,机器人辅助筋膜内前列腺癌根治术可提高患者术后尿控。

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目( 81172076)
通讯作者:孙颖浩,Email:sunyh@medmail.com.cn
本文编辑:阮星星 李文标) 施振凯,高旭,王海峰,等.机器人辅助筋膜内前列腺癌根治术对术后尿控影响的研究[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(1
更新日期/Last Update: 1900-01-01