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    刘贝贝, 郭园园, 张家俊, 刘建民, 汪盛, 王成勇, 陈志军, 杨帅, 代昌远, 李庆文. 腹腔镜前列腺癌根治术后早期尿控的影响因素分析[J]. 蚌埠医科大学学报, 2019, 44(9): 1177-1181. DOI: 10.13898/j.cnki.issn.1000-2200.2019.09.010
    引用本文: 刘贝贝, 郭园园, 张家俊, 刘建民, 汪盛, 王成勇, 陈志军, 杨帅, 代昌远, 李庆文. 腹腔镜前列腺癌根治术后早期尿控的影响因素分析[J]. 蚌埠医科大学学报, 2019, 44(9): 1177-1181. DOI: 10.13898/j.cnki.issn.1000-2200.2019.09.010
    shu
    LIU Bei-bei, GUO Yuan-yuan, ZHANG Jia-jun, LIU Jian-min, WANG Sheng, WANG Cheng-yong, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, LI Qing-wen. Analysis of influencing factors of early post operative urine control after laparoscopic radical prostatectomy[J]. Journal of Bengbu Medical University, 2019, 44(9): 1177-1181. DOI: 10.13898/j.cnki.issn.1000-2200.2019.09.010
    Citation: LIU Bei-bei, GUO Yuan-yuan, ZHANG Jia-jun, LIU Jian-min, WANG Sheng, WANG Cheng-yong, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, LI Qing-wen. Analysis of influencing factors of early post operative urine control after laparoscopic radical prostatectomy[J]. Journal of Bengbu Medical University, 2019, 44(9): 1177-1181. DOI: 10.13898/j.cnki.issn.1000-2200.2019.09.010
    shu

    腹腔镜前列腺癌根治术后早期尿控的影响因素分析

    Analysis of influencing factors of early post operative urine control after laparoscopic radical prostatectomy

      摘要
    • 摘要:
      目的探讨腹腔镜前列腺癌根治术后早期尿控的影响因素。
      方法选取行腹腔镜前列腺癌根治术的病人65例，回顾性分析病人的一般特征、肿瘤、手术等临床资料及病人早期尿控恢复情况，探究术后早期尿控的影响因素。
      结果病人早期尿控率为49.23%，单因素分析结果显示:年龄、体质量指数、新辅助治疗、前列腺质量、肿瘤分期、出血量、完整保留膀胱颈、术后漏尿等变量与术后早期尿控恢复相关（P < 0.05~P < 0.01）。logistic回归多因素分析结果显示:年龄、新辅助治疗、出血量、完整保留膀胱颈4个变量为术后早期尿控恢复的独立影响因素（P < 0.05~P < 0.01）。
      结论腹腔镜前列腺癌根治术后早期尿控受多种因素的影响，合适的手术时机、术前新辅助内分泌治疗、术中精准操作减少出血量及止血操作副损伤、完整保留膀胱颈部与尽可能长的尿道均可使早期尿控获益。

       

      Abstract:
      ObjectiveTo detect the influencing factors of early postoperative urine control after laparoscopic radical prostatectomy.
      MethodsA total of 65 prostate cancer patients treated with radical prostatectomy were selected.The general features, tumor, operation and recovery of early urinary control in all patients were retrospectively analyzed, and the influencing factors of early postoperative urinary control were investigated.
      ResultsThe rate of early urine control in all patients was 49.23%.The results of univariate analysis showed that the age, body mass index, neoadjuvant therapy, prostate volume, tumor staging, blood loss, retaining complete bladder neck and postoperative leakage were correlated with the recovery of early postoperative urinary control, and the differences of those were statistically significant(P < 0.05 to P < 0.01).The results of logistic regression analysis showed that the age, neoadjuvant therapy, amount of bleeding and retaining complete bladder neck were the independent influencing factors of early postoperative urine control, and the differences of those were statistically significant(P < 0.05 to P < 0.01).
      ConclusionsMultiple factors can affect the early postoperative urine control after laparoscopic radical prostatectomy.Early urinary control can benefit from the appropriate operation timing, preoperative neoadjuvant endocrine therapy, intraoperative precise operation to reduce blood loss and side injury of hemostatic operation, retaining complete bladder neck and urethra as long as possible.

       

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