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目的研究影响经耻骨后前列腺癌根治术治疗前列腺癌患者术后尿控的相关因素。方法对2009年5月-2012年1月来我院进行前列腺癌根治术的治疗的180例患者的资料进行回顾性分析,对术后尿控的情况进行随访,并记录临床特征,统计分析影响尿控的相关因素。结果在经耻骨后前列腺癌根治术中,若最大限度得保留尿道外括约肌,并保留神经血管束,在术后进行早期的功能锻炼以及其他的积极处理可以对尿控有很大帮助。术后4周,患者尿控率为15.9%,术后16周,患者尿控率达到95.7%。在术后4-12周期间,尿控恢复速度最快,而术中输血(P=0.016)、年龄的上升(P=0.017)以及做过经尿道前列腺电切术等对尿控具有明显的不良反应,在术前进行新辅助内分泌的治疗对尿控有很大帮助。结论患者手术时年龄、既往TURP、术中输血、术前进行新辅助内分泌的治疗在根治术后尿控中有重要的影响,临床须引起重视。
Objective To study the factors that influence the postoperative urinary control of prostate cancer after radical retropubic prostatectomy. Methods The data of 180 patients who underwent radical prostatectomy in our hospital from May 2009 to January 2012 were retrospectively analyzed. The postoperative urinary control conditions were followed up and the clinical characteristics were recorded. The impact of statistical analysis was analyzed Urinary control related factors. Results In the radical retropubic prostatectomy, if the maximum retention of the external urethral sphincter, and retain the nerve vascular bundle, postoperative early functional exercise and other positive treatment can be of great help to the urine control. After 4 weeks, the rate of urinary control was 15.9%. After 16 weeks, the urinary control rate reached 95.7%. During the 4-12 weeks postoperatively, urinary control recovered most rapidly, while intraoperative blood transfusion (P = 0.016), age (P = 0.017) and transurethral resection of the prostate Adverse reactions, preoperative neoadjuvant endocrine treatment of urine control is very helpful. Conclusions The age of patients, previous TURP, intraoperative blood transfusions and the preoperative neoadjuvant endocrine therapy have an important effect on urinary control after radical operation, which should be paid more attention to.