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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 216 -220. doi: 10.3877/cma.j.issn.1674-3253.2026.02.015

综述

腹腔镜下前列腺癌根治术结合尿道重建技术的研究进展
张天阳, 王星博, 王江平()   
  1. 225300 江苏,南京医科大学附属泰州人民医院泌尿外科
  • 收稿日期:2025-10-13 出版日期:2026-04-01
  • 通信作者: 王江平

Research progress on urethral reconstruction techniques during laparoscopic radical prostatectomy

Tianyang Zhang, Xingbo Wang, Jiangping Wang()   

  1. Department of Urology, the Affiliated Taizhou People’s Hospital of Nanjing Medical University, Jiangsu 225300, China
  • Received:2025-10-13 Published:2026-04-01
  • Corresponding author: Jiangping Wang
引用本文:

张天阳, 王星博, 王江平. 腹腔镜下前列腺癌根治术结合尿道重建技术的研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(02): 216-220.

Tianyang Zhang, Xingbo Wang, Jiangping Wang. Research progress on urethral reconstruction techniques during laparoscopic radical prostatectomy[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(02): 216-220.

根治性前列腺切除术是目前前列腺癌Ⅰ级推荐的治疗方法。术后尿失禁是根治性前列腺切除术的主要并发症之一,诸多因素被认为与前列腺术后尿失禁相关,针对这些因素,许多改良根治性前列腺切除术被应用在临床中,尿道重建术就是其中之一,本文探讨了尿道重建技术在腹腔镜下根治性前列腺切除术中的研究进展,评价这类术式对于前列腺术后尿控恢复的效果,以为临床医师提供多种术式选择。

Radical prostatectomy remains the first-line recommended treatment for prostate cancer. Post-prostatectomy urinary incontinence stands as one of the primary complications of this procedure, with multiple contributing factors identified. In response to these risk elements, various modified radical prostatectomy techniques have been utilized in clinical practice. Urethral reconstruction technique is one of them. This article reviews advancements in urethral reconstruction techniques during laparoscopic radical prostatectomy, evaluates their efficacy in restoring postoperative urinary continence, and aims to provide clinicians with surgical alternatives for optimized clinical decision-making.

图1 前列腺部尿道周围解剖示意图注:B为膀胱;DF为狄氏筋膜;DVC为背深静脉复合体;IS为尿道内括约肌(红色线条区域);P为前列腺;SS为尿道外括约肌;SV为精囊;U为尿道
图2 前列腺根治术后尿道全重建技术示意图注:AT为耻骨弓腱膜;B为膀胱;P为耻骨;PPL为耻骨前列腺韧带;U为尿道断端
图3 前列腺癌根治术后尿道自身重建技术示意图注:a为前列腺切除后的膀胱及尿道断端,b为切取前壁膀胱肌瓣,c为将肌瓣卷曲缝合为管状新尿道,d为新尿道示意图
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