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目的:探讨开放手术与腹腔镜前列腺癌根治术的临床疗效。方法:随机选取2008年1月-2014年12月我院收治的前列腺癌患者90例,按照手术方法不同,分为观察组与对照组,每组45例,分别行腹腔镜前列腺根治术、经耻骨后前列腺根治术的开放性手术,比较两组的临床疗效。结果:观察组的手术时间、术中出血量、住院时间等指标均优于对照组,组间比较,差异具有统计学意义(P<0.05);术后,观察组吻合口狭窄、勃起功能障碍、尿失禁与尿漏等术后并发症发生率为11.11%明显低于对照组24.44%,组间比较,差异具有统计学意义(P<0.05),术后随访复发情况,两组间比较,差异无统计学意义(P>0.05)。结论:在前列腺癌的治疗中,腹腔镜下前列腺根治术创伤小,术后恢复快,并发症发生率低,属治疗前列腺癌的理想方法。
Objective: To investigate the clinical effect of open surgery and laparoscopic radical prostatectomy. Methods: Ninety patients with prostate cancer admitted from January 2008 to December 2014 in our hospital were randomly divided into observation group and control group with 45 cases in each group. Laparoscopic radical prostatectomy Pubic prostatectomy after open surgery, the clinical efficacy of the two groups were compared. Results: The operation time, blood loss and hospital stay in the observation group were superior to those in the control group. The differences between the two groups were statistically significant (P <0.05). After the operation, the anastomotic stenosis, erectile dysfunction , Urinary incontinence and urinary leakage postoperative complications rate of 11.11% was significantly lower than the control group 24.44%, the difference between groups was statistically significant (P <0.05), postoperative follow-up of recurrence, between the two groups, The difference was not statistically significant (P> 0.05). Conclusion: In the treatment of prostate cancer, laparoscopic radical prostatectomy trauma, rapid recovery, the incidence of complications is low, is an ideal method of treatment of prostate cancer.