| 马进华,魏红兵,李先林,等.非缝扎背深静脉复合体的筋膜内前列腺根治术对病人术后勃起功能的影响[J].安徽医药,2021,25(6):1121-1123. |
| 非缝扎背深静脉复合体的筋膜内前列腺根治术对病人术后勃起功能的影响 |
| Intrafascial prostatectomy without suture of dorsal vasculature complex's effect on erectile function of patients |
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| DOI：10.3969/j.issn.1009-6469.2021.06.014 |
| 中文关键词: 前列腺切除术 /方法 前列腺肿瘤 背深静脉复合体 勃起功能 |
| 英文关键词: Prostatectomy/methods Prostatic neoplasms Dorsal vasculature complex Erectile function |
| 基金项目:湖北省自然科学基金( WJ2015Q002) |
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| 中文摘要: |
| 目的探讨非缝扎背深静脉复合体( DVC)的筋膜内前列腺根治术对病人术后勃起功能的影响。方法回顾分析 2017年 1月至 2018年 6月湖北省第三人民医院和襄阳市中心医院诊治的 50例前列腺癌病人临床资料，根据手术方法分为缝合 DVC组(27例)和非缝合 DVC组(23例)比较两组病人术中出血量、手术时间、切缘阴性率、术后 1月控尿功能恢复及术后勃起功能差异。结果非缝合 DVC组和缝合，DVC组术中出血量［( 117.21±9.37)mL比( 115.33±10.51)mL］、手术时间［( 202.11±10.23)min比(199.16±9.76)min］、切缘阴性率( 91.3%比 88.9%)、术后 12月前列腺特异性抗原(PSA)［(0.69±0.15)μg/L比( 0.71± |
| 英文摘要: |
| Objective To study the effect of intrafascial prostatectomy without suture of dorsal vasculature complex (DVC) on erectile function of patients with prostate cancer.Methods The clinical data of fifty patients with prostate cancer who were diagnosed andtreated in Hubei Third People′s Hospital and Xiangyang Central Hospital from Jan 2017 to Jun 2018 were retrospectively analyzed forstudy. According to surgery method, they were assigned into sutured DVC group (27 cases) and non-sutured DVC group (23 cases). Theintraoperative blood loss, operation time, negative rate of resection margin, recovery of urinary control function and postoperative erectile function after operation were compared between the two groups.Results There were no significant differences in intraoperative blood loss [(117.21±9.37) mL vs. (115.33±10.51) mL], operation time [(202.11±10.23) min vs. (199.16±9.76) min], negative rate of resection margin (91.3% vs. 88.9%), prostate specific antigen (PSA) [(0.69±0.15) μg/L vs. (0.71±0.12) μg/L] in the second 12 months and recovery of urinary control function (78.3% vs. 70.4%) in the first month after surgery (P>0.05). The IIEF-5 scores [(10.35±1.36) and(16.15±2.41), respectively] and the recovery rate of erectile function (52.2% and 69.5%, respectively) in the non-sutured DVC group at 6 months and 12 months after surgery were better than the monthly IIEF-5 score [(9.43±1.15) and (14.78±2.33), respectively] and erectile function recovery rate (25.9% and 37.1%, respectively) in the sutured DVC group at 6 months and 12 months after surgery (P<0.05). Conclusion The non-sutural DVC technique is safe and effective in laparoscopic intrafascial radical prostatectomy, which is conducive to the recovery of later sexual function of patients. |
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