国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
4期
486-489
,共4页
膀胱肿瘤%膀胱切除术%尿流改道术
膀胱腫瘤%膀胱切除術%尿流改道術
방광종류%방광절제술%뇨류개도술
Urinary Bladder Neoplasms%Cystectomy%Urinary Diversion
目的 探讨分析全膀胱切除后原位回肠新膀胱术与回肠膀胱术临床疗效差异.方法 回顾分析2008年1月至2012年6月安徽省立医院泌尿外科67例膀胱癌全膀胱切除患者的临床资料,其中行原位回肠新膀胱术35例(新膀胱组),行回肠膀胱术32例(回肠膀胱组).对两组患者的一般情况、术中失血量、手术时间、住院天数、术后早晚期并发症等进行统计分析比较.结果 回肠膀胱组在手术时间、术中出血量、住院天数方面均优于新膀胱组,而两组在肠功能恢复时间、术后早晚期并发症发生率方面差异却无统计学意义.结论 原位回肠新膀胱术与回肠膀胱术在肿瘤控制方面效果相同,虽然新膀胱术术式更复杂、手术时间久、术中出血多,但术后患者可自主控制排尿,在尿流改道方式中值得优先考虑,以提高患者的生活质量.
目的 探討分析全膀胱切除後原位迴腸新膀胱術與迴腸膀胱術臨床療效差異.方法 迴顧分析2008年1月至2012年6月安徽省立醫院泌尿外科67例膀胱癌全膀胱切除患者的臨床資料,其中行原位迴腸新膀胱術35例(新膀胱組),行迴腸膀胱術32例(迴腸膀胱組).對兩組患者的一般情況、術中失血量、手術時間、住院天數、術後早晚期併髮癥等進行統計分析比較.結果 迴腸膀胱組在手術時間、術中齣血量、住院天數方麵均優于新膀胱組,而兩組在腸功能恢複時間、術後早晚期併髮癥髮生率方麵差異卻無統計學意義.結論 原位迴腸新膀胱術與迴腸膀胱術在腫瘤控製方麵效果相同,雖然新膀胱術術式更複雜、手術時間久、術中齣血多,但術後患者可自主控製排尿,在尿流改道方式中值得優先攷慮,以提高患者的生活質量.
목적 탐토분석전방광절제후원위회장신방광술여회장방광술림상료효차이.방법 회고분석2008년1월지2012년6월안휘성립의원비뇨외과67례방광암전방광절제환자적림상자료,기중행원위회장신방광술35례(신방광조),행회장방광술32례(회장방광조).대량조환자적일반정황、술중실혈량、수술시간、주원천수、술후조만기병발증등진행통계분석비교.결과 회장방광조재수술시간、술중출혈량、주원천수방면균우우신방광조,이량조재장공능회복시간、술후조만기병발증발생솔방면차이각무통계학의의.결론 원위회장신방광술여회장방광술재종류공제방면효과상동,수연신방광술술식경복잡、수술시간구、술중출혈다,단술후환자가자주공제배뇨,재뇨류개도방식중치득우선고필,이제고환자적생활질량.
Objectives To compare the clinical effects between orthotropic ileal neobladder substitute and iledl conduit urinary diversion.Methods Retrospective analysis of the clinical data of 67 cases with transitional cell carcinoma of bladder after radical cystectomy from January2008 to June2012 in our hospital between group A underwent the construction of an orthotopic ileal neobladder and group B underwent Bricker procedure.The parameters associated with the general conditions,intraoperative blood loss,operation time,hospitalization days,early and late complications were compared between the two groups.Results Bricker procedure groups in the operation time,intraoperative blood loss,hospitalization days are better than those of orthotopic ileal neobladder groups.And no signif-icantdifferences in other aspects.Conclusions The two groups have the same tumor control effect.Orthotopic ileal neobladder is more complicated,more operation time and more intraoperative blood loss compared with Bricker procedure,but it can offers patients with self-control urination.To improve the quality of life of the patients,orthotropic ileal neobladder substitute is a predominant technique for the treatment of urinary diversions after radical cystectomy.
