CAJ | 학술논문

目的：比较回肠膀胱术中“插入式”输尿管肠管吻合术和直接吻合术的疗效。方法：将50例在我院行回肠膀胱术的患者随机分为观察组（25例）和对照组（25例），对照组采用“插入式”输尿管肠管吻合术，观察组则行直接肠管吻合，比较两组患者术后吻合口狭窄、输尿管返流、肾功能损害及尿路感染等并发症的发生情况。结果：观察组吻合口狭窄率低于对照组（P<0.05）；两组患者术后输尿管返流、肾功能损害、尿路感染等并发症的发生率无显著性差异（P>0.05）。结论：输尿管肠管直接吻合术是一种较佳的输尿管肠管吻合方式，可降低术后并发症的发生率，值得临床推广应用。
목적：비교회장방광술중“삽입식”수뇨관장관문합술화직접문합술적료효。방법：장50례재아원행회장방광술적환자수궤분위관찰조（25례）화대조조（25례），대조조채용“삽입식”수뇨관장관문합술，관찰조칙행직접장관문합，비교량조환자술후문합구협착、수뇨관반류、신공능손해급뇨로감염등병발증적발생정황。결과：관찰조문합구협착솔저우대조조（P<0.05）；량조환자술후수뇨관반류、신공능손해、뇨로감염등병발증적발생솔무현저성차이（P>0.05）。결론：수뇨관장관직접문합술시일충교가적수뇨관장관문합방식，가강저술후병발증적발생솔，치득림상추엄응용。
Objective:To compare the efficacy of"plug in"ureterointestinal anastomosis and direct anastomosis in ileal cystoplasty. Methods:50 cas-es of patients who treated by ileal cystoplasty in our hospital were rondomly divided into observation group (25 cases) and control group (25 cases), the control group treated by"plug in"ureterointestinal anastomosis while observation group by direct anastomosis, then compared the occurrence of postoperative complications such as anastomotic stenosis, ureteral reflux, renal dysfunction and urinary tract infection. Results:The occurrence of anastomotic stenosis of observation group was lower than that of control group (P<0.05);there was no statistical difference of occurrence of ureteral reflux, renal dysfunction and urinary tract infection between two groups (P>0.05). Conclusion:Direct ureterointestinal anastomosis is the better type of ureterointestinal anastomosis, which can reduce the occurrence of postoperative complications, deserves clinical promotion and application.