CAJ | 학술논문

目的：探讨膀胱全切术后，原位膀胱和Bricker膀胱两种尿流改道方式的优缺点。方法回顾性分析2007年7月～2012年7月共30例膀胱全切尿流改道患者的临床资料。年龄35～72岁，平均(62±9)岁。原位膀胱11例，Bricker膀胱19例，对比其手术时间、术后恢复时间、术后并发症出现情况、术后生活质量及术后护理情况。结果 Bricker膀胱术及原位回肠膀胱术在手术时间、术后肠道恢复时间及手术出血量上差异无统计学意义；原位膀胱在生活质量及术后护理上优于Bricker膀胱（P＜0.05）。结论在严格选择适应证的基础上，应先选择回肠原位代膀胱术，有利于改善患者生活质量；Bricker膀胱术作为全膀胱切除后尿流改道的次选术式。
목적：탐토방광전절술후，원위방광화Bricker방광량충뇨류개도방식적우결점。방법회고성분석2007년7월～2012년7월공30례방광전절뇨류개도환자적림상자료。년령35～72세，평균(62±9)세。원위방광11례，Bricker방광19례，대비기수술시간、술후회복시간、술후병발증출현정황、술후생활질량급술후호리정황。결과 Bricker방광술급원위회장방광술재수술시간、술후장도회복시간급수술출혈량상차이무통계학의의；원위방광재생활질량급술후호리상우우Bricker방광（P＜0.05）。결론재엄격선택괄응증적기출상，응선선택회장원위대방광술，유리우개선환자생활질량；Bricker방광술작위전방광절제후뇨류개도적차선술식。
Objective To summarize our clinical experience on treating bladder car-cinoma with continent ileal reservoir or bricker operation. Methods Data of 30 cases with bladder tumor from 2007 to 2012 who underwent radical cystectomy and urinary diversion were retrospectively analyzed. Their average age of the patients was (62±9) (range from 35 to 72) years old. They were analyzed in the term of operation time, postoperative recover time and syndrome, even postoperative life quality and caret. Results It was no significant difference between operation time and volume of blood Bricker operation group and orthotopic ileal neobladder group;the orthotopic ileal neobladder are better than the bricker operation in post operative life quality and care(P<0.05). Conclusion From above, the orthotopic ileal neobladder is superior selection. It can improve patients`life quality. Then Bricker operation is minor.