CAJ | 학술논문

目的：探讨肌层浸润性膀胱癌全膀胱切除术后不同尿流改道的临床疗效及并发症。方法：回顾性分析本院在2009年1月-2011年12月63例肌层浸润性膀胱癌全膀胱切除患者的临床资料。根据患者的具体情况及意愿选择手术方式，其中33例患者行回肠膀胱术，30例患者行原位回肠新膀胱术，比较两组临床疗效及并发症。结果：回肠膀胱术组患者术中出血量、手术时间、住院时间明显少于原位回肠新膀胱术组，两组比较差异均有统计学意义（P<0.01）。原位回肠新膀胱术组尿失禁例数高于回肠膀胱术组，两组比较差异有统计学意义（P<0.05），早期的其他并发症及晚期并发症两组比较差异无统计学意义（P>0.05）。结论：回肠膀胱术与原位回肠新膀胱术各有优劣，应根据患者的具体情况和意愿进行个体化治疗，选择适当的术式，以提高患者生存率和生活质量。
목적：탐토기층침윤성방광암전방광절제술후불동뇨류개도적림상료효급병발증。방법：회고성분석본원재2009년1월-2011년12월63례기층침윤성방광암전방광절제환자적림상자료。근거환자적구체정황급의원선택수술방식，기중33례환자행회장방광술，30례환자행원위회장신방광술，비교량조림상료효급병발증。결과：회장방광술조환자술중출혈량、수술시간、주원시간명현소우원위회장신방광술조，량조비교차이균유통계학의의（P<0.01）。원위회장신방광술조뇨실금례수고우회장방광술조，량조비교차이유통계학의의（P<0.05），조기적기타병발증급만기병발증량조비교차이무통계학의의（P>0.05）。결론：회장방광술여원위회장신방광술각유우렬，응근거환자적구체정황화의원진행개체화치료，선택괄당적술식，이제고환자생존솔화생활질량。
Objective:To explore the clinical and complication of different urinary diversions after radical cystectomy for muscle invasive bladder cancer. Method:A total of 63 patients with radical cystectomy for muscle invasive bladder cancer in the hospital from January 2009 to December 2011 were analyzed retrospectively. According to the patient's specific situation and intend were chosen surgical procedures,Bricker operation group 33 were cases,Studer operation group were 30 cases, and the clinical and complication between the two groups were compared. Result:The operation time,median blood loss and hospitalization in Bricker operation group were significant all less than Studer operation group(P<0.05). The number of urinary incontinence in Bricker operation group was significant much than Studer operation group(P<0.05). There were no significant difference in early and later complication between two group(P>0.05). Conclusion:Bricker operation and Studer operation have their own advantages. We should selecting the appropriate operation according to the individual condition of the patient,to improve patient survival and quality of life.