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膀胱前列腺肌重建的機器人輔助前列腺癌根治術(shù)患者拔管后尿控恢復(fù)及安全性評估：一項前瞻性隨機對照試驗

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Robot-assisted urinary control recovery and safety assessment of vesicoprostatic muscle reconstruction after extubation in patients undergoing radical prostatectomy for prostate cancer： a prospective randomized controlled trial

WU Yueqi1，2，DING Xuefei1，LUAN Yang2，ZHU Liangyong2，TAN Xiao2，WU Zhenhao2

（1.Graduate School of Medical School，Yangzhou University，Yangzhou 225100; 2.Department of Urology，Subei Peoples Hospital Affiliated to Yangzhou University，Yangzhou 225001，China）

ABSTRACT：Objective To analyze the effects of vesicoprostatic muscle （VPM） reconstruction on the early urinary control recovery and safety of patients undergoing robot-assisted radical prostatectomy （RARP）.Methods A total of 128 patients who underwent RARP in our hospital during Sep.1，2021 and Aug.31，2023 were enrolled and divided into the non-reconstruction group （n=64） and reconstruction group （n=64） using random number table method.The reconstruction group received Montsouris + VPM reconstruction surgery，while the non-reconstructive group underwent Montsouris surgery only.Urinary control and perioperative data were collected with telephone interview，outpatient follow-up and inpatient records.The two groups were matched using overlap weighting and the Kaplan-Meier method was used to calculate urinary incontinence rates at 1，2 and 3 months after extubation.Early urinary control （3 months after extubation），operation time，intraoperative bleeding，positive rate of incision margin，and incidence of early postoperative complications （＜30 days） （Clavien-Dindo scale） were compared between the two groups.Results The recovery rate of urinary control at 1，2 and 3 months after extubation was significantly higher in the reconstruction group than that in the non-reconstruction group （33.9% vs. 11.2%; 46.7% vs. 16.1%; 70.6% vs. 45.6%，P<0.05），but the positive rate of resection margin was lower （16.1% vs.41.7%，P<0.05）.There were no significant differences in operation time，intraoperative bleeding and early postoperative complications between the two groups （P>0.05）.Conclusion VPM reconstruction can improve urinary control recovery in RARP patients early after extubation without increasing the risk of surgery.

KEY WORDS：robotic-assisted; radical prostatectomy; vesicoprostatic muscle; urinary control; overlapping weighting

摘要：目的 分析膀胱前列腺?。╒PM）重建對機器人輔助前列腺癌根治術(shù)（RARP）患者拔管后早期尿控恢復(fù)以及安全性的影響。（剩余9768字）

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