筋膜内与筋膜间保留神经的腹腔镜前列腺癌根治术的临床效果比较

陈志军; 汪盛; 王成勇; 刘建民; 李庆文; 关翰

doi:10.13898/j.cnki.issn.1000-2200.2020.10.011

筋膜内与筋膜间保留神经的腹腔镜前列腺癌根治术的临床效果比较

Comparsion of the clinical effects between intrapascial and interfascial nerve-sparing in laparoscopic radical prostatectomy for prostate cancer

摘要

摘要:
目的比较腹腔镜前列腺癌根治术中采用筋膜内与筋膜间保留神经技术的临床效果。
方法回顾性分析41例行腹腔镜下前列腺根治性切除的前列腺癌病人资料，其中20例采用筋膜内保留神经技术为筋膜内组，21例采用筋膜间保留神经技术为筋膜间组。比较2组病人的围手术期指标、术后勃起功能及早期尿控结果。
结果筋膜内组3个月及6个月时的尿垫数量级别使用明显优于筋膜间组（P < 0.05）。筋膜内组在6个月时的勃起功能恢复显著提高（66.7% vs 33.3%，P < 0.05）。
结论与筋膜间保留神经技术相比，筋膜内保留神经技术提供了相似的手术效果，获得更好的早期尿控及勃起功能恢复。

Abstract:
ObjectiveTo compare the clinical effects between intrafascial and interfascial nerve-sparing in laparoscopic radical prostatectomy.
MethodsThe clinical data of 41 prostate cancer patients treated with laparoscopic radical prostatectomy were retrospectively analyzed.Twenty cases were treated with intrafascial nerve-sparing technique(intrafascial group), and 21 cases were treated with interfascial nerve-sparing technique(interfascial group).The perioperative indicators, erectile function and early urinary control were compared between two groups.
ResultsThe number of using urinal pads in intrafascial group was significantly better than that in interfascial group after 3 and 6 months of operation(P < 0.05).In the intrafascial group, the recovery of erectile function was significantly improved after 6 months of operation(66.7% vs 33.3%, P < 0.05).
ConclusionsCompared with the interfascial nerve-sparing technique, the intrafascial nerve-sparing technique can provide similar surgical results, and obstain better early urinary control and restoration of erectile function.

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