|
|
|
| Professor Gao Zhan’s experience in the treatment of urinary incontinence after radical prostatectomy |
| WANG Zhong1 WANG Jianwen2 SHAO Kuiqing1 LI Qi1 DING Jiasen1 CHEN Haote1 GAO Zhan1 |
1.Department of Urology, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China;
2.Department of Urology, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100043, China |
|
|
|
Abstract This paper summarizes Professor Gao Zhan’s experience in the treatment of urinary incontinence after radical prostatectomy. Professor Gao Zhan believes that the basis of this disease are weakness of the elderly and tumor consumption, and the pathogenic conditions of this disease are surgical injury, heat and blood stasis during operation. Professor Gao Zhan points out that the pathogenesis is spleen and kidney deficiency, and stasis and heat binding, both of them lead to bladder failing to control. The disease location is bladder, and the deficient syndrome is the most common type, with intermingled deficiency and excess. In the treatment, we should give consideration to manifestation and root cause and treating with both elimination and reinforcement. Treatment based on syndrome differentiation combined with staging treatment is necessary. The treatment is mainly to replenish qi and fortify spleen, supplemented by tonifying kidney to reinforce and arrest with astringent therapy, accompanied by clearing heat and removing blood stasis. Professor Gao Zhan takes the self-designed Qishao Tianxin Prescription as the basic prescription, flexibly adds and subtracts Chinese herbs according to the clinical actual situation of patients, and achieves remarkable effect after application in clinical practice. One medical record is attached to prove our view.
|
|
|
|
|
|
[1] Salazar A，Regis L，Planas J，et al. Early continence after radical prostatectomy：A systematic review [J]. Actas Urol Esp（Engl Ed），2019，43（10）：526-535.
[2] 宋楠楠，马继红，夏洪晨，等.“益气固元”针法治疗前列腺癌根治术后尿失禁患者的临床观察[J].世界科学技术-中医药现代化，2020，22（9）：3432-3436.
[3] Ficarra V，Novara G，Rosen R C，et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy [J]. Eur Urol，2012，62（3）：405-417.
[4] 廖利民.前列腺术后尿失禁及其防治[J].临床泌尿外科杂志，2008，23（2）：81-84.
[5] Str?諭czyńska A，Weber-Rajek M，Strojek K，et al. The Impact Of Pelvic Floor Muscle Training On Urinary Incontinence In Men After Radical Prostatectomy（RP）-A Systematic Review [J]. Clin Interv Aging，2019，14：1997-2005.
[6] Rahnama’I MS，Marcelissen T，Geavlete B，et al. Current Management of Post-radical Prostatectomy Urinary Incontinence [J]. Front Surg，2021，8：647656.
[7] 朱晖，邓康俐.前列腺癌根治术后尿失禁的治疗现状和展望[J].肿瘤防治研究，2020，47（10）：727-733.
[8] 宋楠楠，陆斌.前列腺癌根治术后尿失禁的中医药治疗研究进展[J].中国中医急症，2020，29（3）：552-554.
[9] Goode PS，Burgio KL，Johnson TN，et al. Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence：a randomized controlled trial [J]. JAMA，2011，305（2）：151-159.
[10] Anderson CA，Omar MI，Campbell SE，et al. Conservative management for postprostatectomy urinary incontinence [J]. Cochrane Database Syst Rev，2015，1（1）：D1843.
[11] Schifano N，Capogrosso P，Tutolo M，et al. How to Prevent and Manage Post-Prostatectomy Incontinence：A Review [J]. World J Mens Health，2021，39（4）：581-597.
[12] 华俏丽，邹川，吴禹池，等.黄春林教授谈尿失禁的中医治疗对策[J].中国中西医结合肾病杂志，2019，20（4）：349-350.
[13] 周冰莹，庞然.调理脾胃法治疗尿失禁临床探索[J].中国中医药信息杂志，2021，28（1）：128-130.
[14] 李鹏禹，丁留成，卫中庆.前列腺癌根治性术后尿失禁的影像学进展[J].中华男科学杂志，2020，26（9）：838-843.
[15] 王婷，张清.老年前列腺癌患者腹腔镜根治术后并发尿失禁的危险因素[J].中国老年学杂志，2020，40（9）：1841-1843.
[16] Sandhu JS，Breyer B，Comiter C，et al. Incontinence after Prostate Treatment：AUA/SUFU Guideline [J]. J Urol，2019，202（2）：369-378.
[17] 许鹏，王荫槐.前列腺癌根治术后尿失禁预防及治疗的研究进展[J].临床泌尿外科杂志，2019，34（4）：312-318.
[18] 张蕾，杨颐，刘慧林，等.古代中医文献对于尿失禁的认识和治疗述要[J].中医文献杂志，2013，31（2）：54-56.
[19] 王晶，汪晓敏，程双丽，等.岳仁宋从肺肾论治膀胱咳经验[J].湖南中医杂志，2018，34（2）：16-17.
[20] 江道斌，陈芳.膀胱咳证治源流探讨[J].中华中医药杂志，2018，33（4）：1285-1288.
[21] 周鸿飞.黄帝内经素问[M].郑州：河南科学技术出版社，2017.
[22] 张介宾.景岳全书[M].北京：中国中医药出版社，1994.
[23] 章楠.医门棒喝[M].北京：中国医药科技出版社，2019.
[24] 程国彭.医学心悟[M].北京：中国中医药出版社，2019.
[25] 周炜孝.“观其脉证，知犯何逆，随证治之”临证应用[J].湖南中医杂志，2021，37（9）：97-98.
[26] 刘德果，李姿蓉，陈其华，等.前列腺癌发病机制的中西医探讨[J].中医学报，2021，36（12）：2538-2541. |
|
|
|
