国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
International Journal of Urology and Nephrology
2015年
6期
804-807
,共4页
杨瑜%陈明%朱伟东%沙国柱%柳靖%陈恕求%张晓文%许斌%姜华
楊瑜%陳明%硃偉東%沙國柱%柳靖%陳恕求%張曉文%許斌%薑華
양유%진명%주위동%사국주%류정%진서구%장효문%허빈%강화
前列腺肿瘤%前列腺切除术
前列腺腫瘤%前列腺切除術
전렬선종류%전렬선절제술
Prostatic Neoplasms%Prostatectomy
目的 探讨顺行及逆行两种方式前列腺癌根治术的临床疗效情况.方法 回顾性分析本院2013年2月至2015年2月期间接受开放性前列腺癌根治术的84例患者的临床资料,47例接受耻骨后顺行前列腺癌根治术,37例接受耻骨后逆行前列腺癌根治术,比较分析两组患者的临床差异.结果 两组患者手术顺利,无死亡病例,顺行组术中出血量明显少于逆行组,差异具有统计学意义(P＜0.05);顺行组切缘阳性例数明显少于逆行组,差异具有统计学意义(P＜0.05);顺行组长期并发症发生例数明显少于逆行组,差异具有统计学意义(P＜0.05).结论 耻骨后顺行前列腺癌根治术术中出血少、切缘阳性率低,且长期并发症发生率明显优于逆行术式.
目的 探討順行及逆行兩種方式前列腺癌根治術的臨床療效情況.方法 迴顧性分析本院2013年2月至2015年2月期間接受開放性前列腺癌根治術的84例患者的臨床資料,47例接受恥骨後順行前列腺癌根治術,37例接受恥骨後逆行前列腺癌根治術,比較分析兩組患者的臨床差異.結果 兩組患者手術順利,無死亡病例,順行組術中齣血量明顯少于逆行組,差異具有統計學意義(P＜0.05);順行組切緣暘性例數明顯少于逆行組,差異具有統計學意義(P＜0.05);順行組長期併髮癥髮生例數明顯少于逆行組,差異具有統計學意義(P＜0.05).結論 恥骨後順行前列腺癌根治術術中齣血少、切緣暘性率低,且長期併髮癥髮生率明顯優于逆行術式.
목적 탐토순행급역행량충방식전렬선암근치술적림상료효정황.방법 회고성분석본원2013년2월지2015년2월기간접수개방성전렬선암근치술적84례환자적림상자료,47례접수치골후순행전렬선암근치술,37례접수치골후역행전렬선암근치술,비교분석량조환자적림상차이.결과 량조환자수술순리,무사망병례,순행조술중출혈량명현소우역행조,차이구유통계학의의(P＜0.05);순행조절연양성례수명현소우역행조,차이구유통계학의의(P＜0.05);순행조장기병발증발생례수명현소우역행조,차이구유통계학의의(P＜0.05).결론 치골후순행전렬선암근치술술중출혈소、절연양성솔저,차장기병발증발생솔명현우우역행술식.
Objectives To investigate the differences of clinic efficacy between two kinds of open radical prostatectomy(ORP).Methods Retrospectively analyze the clinical datas of 84 patients with ORP in our hospital from February 2013 to February 2015.47 cases received ORP and 37 cases received retrograde ORP.The operative outcomes and complications between two groups were recorded.Results There was no peri-operative death and cancer specific death.The estimated blood loss of antegrade group was less than that of retrograde group(P ＜ 0.05);the cutting edge positive rate of antegrade group was less than that of retrograde group (P ＜ 0.05);the complication occurrence of antegrade group was less than that of retrograde group (P ＜ 0.05).Conclusions Antegrade radical prostatectomy provides a low incidence of complication,and is better than retraograde operation with less blood loss and lower cutting edge positive rate.
