国际老年医学杂志2026，Vol.47Issue(2)：183-188,6.DOI:10.3969/j.issn.1674-7593.2026.02.010
术中保留耻骨前列腺韧带对行机器人辅助腹腔镜前列腺癌根治术老年患者的影响
The effect of preserving the pubic prostatic ligament during surgery on elderly patients undergoing robot-assisted laparoscopic radical prostatectomy
摘要
Abstract
Objective To explore the effect of preserving the pubicprostato ligament(PPLs)during surgery on postopera-tive bladder function and urinary incontinence in elderly patients undergoing robot-assisted laparoscopic radical prostatectomy(RALP).Methods A total of 80 elderly patients with prostate cancer who received RALP treatment in the the 960th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation from June 2019 to June 2023 were retrospective collected.They were divided into a group A(37 cases,with puboprostatic Ligament preserved during RALP surgery)and a group B(43 cases,with stand-ard RALP surgery)according to different surgical plans.The perioperative related indicators,postoperative bladder function,incidence and severity of urinary incontinence,sexual function,and quality of life between the two groups were collected and compared.Results The total hospitalization time of group A was shorter than that of group B(P<0.05).The differences in the operation time,intraopera-tive blood loss,postoperative drainage tube indwelling time and postoperative catheter indwelling time between the two groups had no statistical significance(P>0.05).At 6 months follow-up,the maximum urinary flow rate,maximum urethral pressure,and bladder compliance in group A were higher than those in group B and the residual urine volume was lower than that in group B(P<0.05),the incidence of urinary incontinence in group A was lower than that in group B,and the severity of urinary incontinence was milder in group A than in group B(P<0.05),the scores of group A on the international inventory of erectile function-5,Chinese premature e-jaculation patient sexual function evaluation scale-10,and World Health Organization quality of life assessment brief were all higher than those of group B(P<0.05).Conclusion Retaining puboprostatic ligament during surgery in elderly patients with RALP can improve postoperative bladder function,reduce the incidence of urinary incontinence,improve sexual function and quality of life,and promote recovery.关键词
前列腺癌/机器人辅助腹腔镜前列腺癌根治术/耻骨前列腺韧带/膀胱功能/尿失禁Key words
Prostate cancer/Robot-assisted laparoscopic radical prostatectomy/Puboprostatic ligament/Bladder function/Urinary incontinence引用本文复制引用
周毅恒,宋华..术中保留耻骨前列腺韧带对行机器人辅助腹腔镜前列腺癌根治术老年患者的影响[J].国际老年医学杂志,2026,47(2):183-188,6.基金项目
国家自然科学基金(81572875) （81572875）
