【摘要】 目的 分析前列腺癌根治术中尿道后筋膜重建技术的安全性和可行性及对术后尿控的影响。方法 采用数字模拟法将83例前列腺癌患者分成对照组(n=40)和研究组(n=43),对照组患者接受前列腺癌根治术治疗，研究组患者接受前列腺癌根治术联合术中尿道后筋膜重建治疗。比较2组患者一般指标、漏尿时间和漏尿量、尿控能力、疼痛和并发症。结果 研究组患者手术时间为(132.87±17.62),多于对照组(P<0.05);研究组术中出血量为(116.47±10.41)ml、住院时间为(23.62±2.06)d,与对照组差异无统计学意义(P>0.05)。研究组患者术后d1、d7的漏尿时间和漏尿量均少于对照组(P<0.05)。研究组患者尿控制有效率明显高于对照组(P<0.05)。研究组患者术后VAS评分低于对照组(P<0.05)。研究组患者并发症发生率高于对照组，但差异无统计学意义(P>0.05)。结论 前列腺癌根治术中行尿道后筋膜重建治疗前列腺癌可在不增加治疗并发症、术中出血量及住院时间的基础上改善患者术后尿控能力，值得推荐使用。更多还原

【Abstract】 Objective To investigate the safety and feasibility of posterior musculofascial plate reconstruction during prostatectomy and its influence on continence.Methods 83 patients with prostate cancer were enrolled, and divided into 2 groups according to the Monte Carlo method.The control group(n=40) received prostatectomy, and the study group(n=43) received posterior musculofascial plate reconstruction during prostatectomy.Then the general indexes, frequency and duration of incontinence, continence, pain degree and complications were compared between groups.Results The operation time was(132.87±17.62) in study group, which was significantly longer than that of control group(P<0.05).The intraoperative blood loss and hospital stay length were(116.47±10.41) ml and(23.62±2.06) d in study group, which showed no significant difference with those of control group(P>0.05).The frequency and duration of incontinence at postoperative d1 and d7 were significantly lower in study group than in control group(P<0.05).The continence efficacy was significantly better in study group than in control group(P<0.05).Study group scored lower on VAS score compared with control group(P<0.05).The complication rate of study group was slightly higher than that of control group, with no statistical difference(P>0.05).Conclusion Application of posterior musculofascial plate reconstruction during prostatectomy can effectively improve the continence outcomes without increasing treatment complications, intraoperative blood loss and length of hospital stay, which is worthy of recommendation.更多还原