山西医药杂志
山西醫藥雜誌
산서의약잡지
SHANXI MEDICAL JOURNAL
2015年
10期
1098-1100
,共3页
前列腺肿瘤%腹腔镜检查%手术后并发症
前列腺腫瘤%腹腔鏡檢查%手術後併髮癥
전렬선종류%복강경검사%수술후병발증
Prostatic neoplasms%Laparoscopy%Postoperative complications
目的：比较腹腔镜下前列腺癌根治术与常规开腹手术治疗早期局限性前列腺癌的临床疗效。方法选择2013年1月至2014年1月我院收治的早期局限性前列腺癌患者89例，分为观察组45例和对照组44例。对照组患者给予常规开腹手术，观察组患者给予腹腔镜下前列腺癌根治术。对治疗后2组患者的临床疗效及并发症发生率进行比较。结果①观察组患者的术中出血量明显少于对照组，差异具有统计学意义（P ＜0.05）。②观察组患者的胃肠功能恢复时间及术后住院时间明显短于对照组，差异具有统计学意义（ P ＜0.05）。③治疗后观察组患者的并发症发生率明显低于对照组，差异具有统计学意义（ P ＜0.05）。④治疗后2组患者的术后1年复发率及术后1年完全控尿率相比较，差异无统计学意义（ P ＞0.05）。结论腹腔镜下前列腺癌根治术可明显提高早期局限性前列腺癌患者的临床疗效，降低并发症的发生率，值得临床推广与应用。
目的：比較腹腔鏡下前列腺癌根治術與常規開腹手術治療早期跼限性前列腺癌的臨床療效。方法選擇2013年1月至2014年1月我院收治的早期跼限性前列腺癌患者89例，分為觀察組45例和對照組44例。對照組患者給予常規開腹手術，觀察組患者給予腹腔鏡下前列腺癌根治術。對治療後2組患者的臨床療效及併髮癥髮生率進行比較。結果①觀察組患者的術中齣血量明顯少于對照組，差異具有統計學意義（P ＜0.05）。②觀察組患者的胃腸功能恢複時間及術後住院時間明顯短于對照組，差異具有統計學意義（ P ＜0.05）。③治療後觀察組患者的併髮癥髮生率明顯低于對照組，差異具有統計學意義（ P ＜0.05）。④治療後2組患者的術後1年複髮率及術後1年完全控尿率相比較，差異無統計學意義（ P ＞0.05）。結論腹腔鏡下前列腺癌根治術可明顯提高早期跼限性前列腺癌患者的臨床療效，降低併髮癥的髮生率，值得臨床推廣與應用。
목적：비교복강경하전렬선암근치술여상규개복수술치료조기국한성전렬선암적림상료효。방법선택2013년1월지2014년1월아원수치적조기국한성전렬선암환자89례，분위관찰조45례화대조조44례。대조조환자급여상규개복수술，관찰조환자급여복강경하전렬선암근치술。대치료후2조환자적림상료효급병발증발생솔진행비교。결과①관찰조환자적술중출혈량명현소우대조조，차이구유통계학의의（P ＜0.05）。②관찰조환자적위장공능회복시간급술후주원시간명현단우대조조，차이구유통계학의의（ P ＜0.05）。③치료후관찰조환자적병발증발생솔명현저우대조조，차이구유통계학의의（ P ＜0.05）。④치료후2조환자적술후1년복발솔급술후1년완전공뇨솔상비교，차이무통계학의의（ P ＞0.05）。결론복강경하전렬선암근치술가명현제고조기국한성전렬선암환자적림상료효，강저병발증적발생솔，치득림상추엄여응용。
Objective To compare clinical efficacy of laparoscopic radical prostatectomy and conventional open surgery in the treatment of patients with early local prostate cancer .Methods A total of 89 cases of early lo‐cal prostate cancer patients in our hospital from January 2013 to January 2014 were randomly divided into observa‐tion group and control group .Control group was treated by conventional open surgery ,while observation group was treated by laparoscopic radical prostatectomy .Clinical efficacy and the incidence of complications of patients in two groups were compared.Results ①Intraoperative blood loss of patients in observation group was significantly less than that in control group ( P<0 .05) .②The postoperative gastrointestinal function recovery time and hospi‐tal stay of patients in the observation group were significantly shorter than those in control group ( P<0 .05) .③The incidence of complications of patients in observation group was significantly lower than those in control group ( P <0 .05) .④ There was no significant difference in the one‐year biochemical recurrence rate between the two groups ( P>0 .05) .Conclusion Laparoscopic radical prostatectomy in the treatment of early local prostate cancer can improve clinical efficacy ,and reduce the incidence of complications .It is worthy of clinical application .
