CAJ | 학술논문

目的：分析膀胱全切术后原位回结肠代膀胱并发尿屡的原因，并总结处理措施。方法对我院2008年9月～2013年9月间行膀胱全切术后124例患者，原位回结肠代膀胱并发尿屡患者9例病情回顾性分析。结果年龄＞60岁者发生率5.65%，明显高于年龄＜60岁患者；合并I型糖尿病者发生率4.03%，亦明显高于无糖尿病组；而年龄＞60岁的I I型糖尿病患者尿瘘发生率高达12.5%。结论高龄、糖尿病等原因是膀胱全切术后原位回结肠代膀胱并发尿屡常见原因，通过积极有效的围手术处理是降低尿瘘发生率的有效方法。
목적：분석방광전절술후원위회결장대방광병발뇨루적원인，병총결처리조시。방법대아원2008년9월～2013년9월간행방광전절술후124례환자，원위회결장대방광병발뇨루환자9례병정회고성분석。결과년령＞60세자발생솔5.65%，명현고우년령＜60세환자；합병I형당뇨병자발생솔4.03%，역명현고우무당뇨병조；이년령＞60세적I I형당뇨병환자뇨루발생솔고체12.5%。결론고령、당뇨병등원인시방광전절술후원위회결장대방광병발뇨루상견원인，통과적겁유효적위수술처리시강저뇨루발생솔적유효방법。
objective: to analyze the bladder ful cut back to the colon in situ generation of postoperative bladder urine repeatedly, and summarizes the treatment measures. Methods:from September 2008 to September 2013 lines of al the 124 cases of postoperative patients with bladder, back to the colon in situ generation of complicated with urinary bladder repeatedly 9 cases of patients with disease were retrospectively analyzed. Results: age > 60 years the incidence of 5.65%, significantly higher than the age < 60 patients; Merger 4.03%incidence of type I diabetes, also significantly higher than the group without diabetes; And age > 60 years old with type 2 diabetes incidence of urinary fistula as high as 12.5%. Conclusion: older age, diabetes and other reason is the bladder ful cut back to the colon in situ generation of postoperative bladder urine making common cause, through positive and effective perioperative treatment is an effective method to reduce the incidence of urinary fistula.