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一种新型的骨盆-前列腺模型 BPPP 可预测保留耻骨后间隙的机器人辅助腹腔镜前列腺根治术后即刻尿控。

A novel pelvis-prostate model BPPP predicts immediate urinary continence after Retzius-sparing robotic-assisted laparoscopic radical prostatectomy.

机构信息

Department of Urology, Nanjing Drum Tower Hospital, Affiliated Medical College of Nanjing University, Nanjing, 210008, China.

School of Medicine, Southeast University, Nanjing, China.

出版信息

Sci Rep. 2024 Aug 20;14(1):19271. doi: 10.1038/s41598-024-70080-8.

DOI:10.1038/s41598-024-70080-8
PMID:39164347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11336111/
Abstract

This study aimed to construct a novel pelvis-prostate model BPPP which consists of body mass index (BMI), prostate volume (PV), pelvic cavity index (PCI) and prostate-muscle index (PMI) to predict the immediate urinary continence after Retzius-sparing robot assisted laparoscopic radical prostatectomy (RS-RARP). The perioperative data of patients with prostate cancer who underwent RS-RARP in the department of urology of Nanjing Drum Tower Hospital from June 2018 to June 2022 were retrospectively analyzed. 280 patients were eligible for this study in total. Multivariate analysis showed that BMI, PV, PCI, PMI and NVB preservation were significantly associated with immediate urinary continence after RS-RARP. Subgroup analysis showed that patients with low BMI, low PV, high PCI and high PMI had a higher recovery rate of immediate urinary continence. The area under the curve of BPPP (BMI + PV + PCI + PMI) for predicting the immediate recovery of urinary continence after RS-RARP was 0.726. Delong test showed that the area under the curve of the combined test for predicting the immediate urinary continence after RS-RARP was better compared with single parameter (p < 0.05). In conclusion the novel pelvis-prostate model BPPP may predict the immediate urinary continence after RS-RARP, providing information for preoperative decision-making.

摘要

本研究旨在构建一种新的骨盆-前列腺模型 BPPP，该模型由体重指数（BMI）、前列腺体积（PV）、骨盆腔指数（PCI）和前列腺肌肉指数（PMI）组成，以预测保留耻骨后间隙的机器人辅助腹腔镜前列腺癌根治术（RS-RARP）后即刻尿控情况。回顾性分析了 2018 年 6 月至 2022 年 6 月南京鼓楼医院泌尿外科接受 RS-RARP 的前列腺癌患者的围手术期数据。共有 280 例患者符合本研究条件。多因素分析显示，BMI、PV、PCI、PMI 和 NVB 保留与 RS-RARP 后即刻尿控有关。亚组分析显示，BMI、PV、PCI 和 PMI 低的患者具有更高的即刻尿控恢复率。BPPP（BMI+PV+PCI+PMI）预测 RS-RARP 后即刻尿控恢复的曲线下面积为 0.726。Delong 检验显示，联合试验预测 RS-RARP 后即刻尿控的曲线下面积优于单参数（p<0.05）。综上所述，新型骨盆-前列腺模型 BPPP 可能预测 RS-RARP 后即刻尿控，为术前决策提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/6f95282a30f4/41598_2024_70080_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/4c38ea59b8ee/41598_2024_70080_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/629e68a3a7cc/41598_2024_70080_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/a7ef02198664/41598_2024_70080_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/8edaef34dd40/41598_2024_70080_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/6f95282a30f4/41598_2024_70080_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/4c38ea59b8ee/41598_2024_70080_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/629e68a3a7cc/41598_2024_70080_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/a7ef02198664/41598_2024_70080_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/8edaef34dd40/41598_2024_70080_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5225/11336111/6f95282a30f4/41598_2024_70080_Fig5_HTML.jpg

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本文引用的文献

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The 'prostate-muscle index': a simple pelvic cavity measurement predicting estimated blood loss and console time in robot-assisted radical prostatectomy.“前列腺-肌肉指数”：一种简单的盆腔测量指标，可预测机器人辅助根治性前列腺切除术中的估计出血量和控制台时间。
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