协和医学杂志

2013, (04)

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前列腺癌根治术后尿失禁的病因及防治
Etiology,prevention and therapy about postprostatectomy urinary incontinence

麦智鹏;严维刚

摘要(Abstract):

虽然前列腺癌根治术对局限性前列腺癌起到了很好的根治效果,但尿失禁作为其术后主要并发症之一却严重影响患者的生活质量,故应引起足够的重视。文章通过回顾文献的方法,探讨前列腺癌根治术后尿失禁的定义、病因、预防和治疗。尽管术后尿失禁的定义尚无统一标准、发病机制尚未十分明确,但积极的预防措施和合理的治疗方案可以得到良好的效果。其预防措施主要有术前盆底肌锻炼跟改进手术方式,治疗方法有保守治疗和手术治疗,前者包括术前盆底肌锻炼、药物治疗、行为治疗和中医治疗等,后者包括人工尿道括约肌植入术、球海绵体悬吊术、经尿道注射填充剂和干细胞治疗等。
Patients with localized prostate cancer can obtain excellent cancer control after radical prostatectomy, but one of the main postoperative complications-urinary incontinence, seriously affects the quality of life of patients, which should attracts enough attention. We provide a review of Literatures about the definition, etiology, prevention and therapy about postprostatectomy urinary incontinence. Despite the fact that the definition and etiology are not clearly established, positive preventions and reasonable therapies can provide good effects.Preventions mainly include preoperative pelvic floor muscle training and improvements of operation methods. Therapies contain conservative treatments and surgical procedures.The formers involve postoperative pelvic floor muscle training, pharmacological treatment, Behavioural therapies,Chinese medicine and so on. The latter contain artificial urinary sphincter, bulbourethral sling procedure, injection therapy and stem-cell therapy.

关键词(KeyWords): |前列腺癌|根治术|尿失禁|
|prostate cancer| radical prostatectomy| urinary incontinence|

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作者(Author): 麦智鹏;严维刚

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