摘要
目的 分析机器人辅助腹腔镜经腹腔与腹膜外单孔前列腺癌根治术围手术期护理的对比。方法
入组本院 2020 年 1 月-2020 年 12 月收治的前列腺癌患者共 100 例，随机分组，对照组的患者实施机器人辅
助腹腔镜经腹腔前列腺癌根治术和护理，研究组采取机器人辅助腹腔镜经腹膜外单孔前列腺癌根治术和护
理。比较两组护理结果。结果 研究组视觉模拟评分低于对照组，手术切口美观评分高于对照组， P＜0.05。
研究组患者的手术时间、拔除尿管时间、肛门排气时间以及住院时间均显著少于对照组（P<0.05）。与对照
组比较，研究组的并发症发生率较少（P<0.05）。观察组术后即刻、3 个月和 6 个月控尿比例高于对照组，
（P<0.05）。结论 机器人辅助腹腔镜经腹膜外单孔前列腺癌根治术围手术期护理后，并发症更少，切口更美
观，可缓解疼痛，提高控尿效果。
关键词： 机器人辅助腹腔镜；经腹腔；腹膜外单孔前列腺癌根治术；围手术期护理
Abstract
Objective To analyze the comparison of perioperative nursing between robot assisted
laparoscopic and extraperitoneal single port radical prostatectomy. Methods A total of 100 patients with prostate
cancer admitted to our hospital from January 2020 to December 2020 were randomly divided into two groups. The
patients in the control group were treated with robot assisted laparoscopic transperitoneal radical prostatectomy and
nursing. The patients in the study group were treated with robot assisted laparoscopic transperitoneal single hole
radical prostatectomy and nursing. The nursing results of the two groups were compared. Results The visual
simulation score of the study group was lower than that of the control group, and the aesthetic score of the surgical
incision was higher than that of the control group (P<0.05). The time of operation, catheter removal, anal exhaust
and hospitalization in the study group were significantly shorter than those in the control group (P<0.05).
Compared with the control group, the incidence of complications in the study group was less (P<0.05). The urinary
control rate in the observation group was higher than that in the control group immediately, 3 months and 6 months
after operation (P<0.05). Conclusion After the perioperative nursing of robot assisted laparoscopic extraperitoneal
single hole radical prostatectomy, the complications are less, the incision is more beautiful, the pain can be relieved,
and the urinary control effect can be improved.
Key words： Robot assisted laparoscope; Transperitoneal; Extraperitoneal single port radical prostatectomy;Perioperative nursing
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