广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2015年
4期
79-82
,共4页
膀胱癌%全膀胱切除术%回肠膀胱术%原位新膀胱术
膀胱癌%全膀胱切除術%迴腸膀胱術%原位新膀胱術
방광암%전방광절제술%회장방광술%원위신방광술
bladder cancer%total cystectomy%bricker operation%neobladder
目的：：比较全膀胱切除术联合不同尿流改道术式在膀胱癌治疗中的应用价值。方法：将2005年5月至2014年5月惠州市中心人民医院收治的60例接受全膀胱癌切除术的膀胱癌患者作为研究对象，根据尿流改道方式不同分为回肠膀胱术组和原位新膀胱术组，每组各30例，比较两组围术期相关指标和术后早期并发症发生情况，采用膀胱癌特异性量表评估术后不同时相点患者生活质量的变化。结果：回肠膀胱术组手术时间、肠胃功能恢复时间及住院时间明显短于原位新膀胱术组( P<0.05)。回肠膀胱术组术后早期并发症发生率为43％，低于原位新膀胱术组的70％( P<0.05)。两组患者术后不同时相点生活质量评分比较，差异无统计学意义(P>0.05)。结论：全膀胱切除术联合回肠膀胱术，操作简单，术后恢复时间短，术后早期并发症发生率低，有较高的推广价值。
目的：：比較全膀胱切除術聯閤不同尿流改道術式在膀胱癌治療中的應用價值。方法：將2005年5月至2014年5月惠州市中心人民醫院收治的60例接受全膀胱癌切除術的膀胱癌患者作為研究對象，根據尿流改道方式不同分為迴腸膀胱術組和原位新膀胱術組，每組各30例，比較兩組圍術期相關指標和術後早期併髮癥髮生情況，採用膀胱癌特異性量錶評估術後不同時相點患者生活質量的變化。結果：迴腸膀胱術組手術時間、腸胃功能恢複時間及住院時間明顯短于原位新膀胱術組( P<0.05)。迴腸膀胱術組術後早期併髮癥髮生率為43％，低于原位新膀胱術組的70％( P<0.05)。兩組患者術後不同時相點生活質量評分比較，差異無統計學意義(P>0.05)。結論：全膀胱切除術聯閤迴腸膀胱術，操作簡單，術後恢複時間短，術後早期併髮癥髮生率低，有較高的推廣價值。
목적：：비교전방광절제술연합불동뇨류개도술식재방광암치료중적응용개치。방법：장2005년5월지2014년5월혜주시중심인민의원수치적60례접수전방광암절제술적방광암환자작위연구대상，근거뇨류개도방식불동분위회장방광술조화원위신방광술조，매조각30례，비교량조위술기상관지표화술후조기병발증발생정황，채용방광암특이성량표평고술후불동시상점환자생활질량적변화。결과：회장방광술조수술시간、장위공능회복시간급주원시간명현단우원위신방광술조( P<0.05)。회장방광술조술후조기병발증발생솔위43％，저우원위신방광술조적70％( P<0.05)。량조환자술후불동시상점생활질량평분비교，차이무통계학의의(P>0.05)。결론：전방광절제술연합회장방광술，조작간단，술후회복시간단，술후조기병발증발생솔저，유교고적추엄개치。
Objective:To compare the clinical value of total cystectomy and different urinary diversions for the treatment of bladder cancer. Methods: Sixty patients with bladder cancer hospitalized in Huizhou Central People′s Hospital between May 2005 and May 2014 and underwent total cystectomy were included as the subjects in the study. All patients were divided into the bricker operation group and the neobladder group ( n=30 each) according to different urinary diversions. The perioperative indexes and early postoperative complications of the two groups were compared. The Factional Assessment of Cancer Therapy-Bladder ( FACT-BL) was used to assess the changes of quality of life ( QOL ) in patients at different time points. Results: The operate time, gastrointestinal function recovery time and hospitalization time in the bricker operation group were significantly shorter than those in the neobladder group (P<0.05). The incidence of early postoperative complication in the bricker operation group (43.33%) was lower than that in the neobladder group (70%) (P<0.05). There was no statistically significant difference in postoperative QOL score at different time points between group the two groups (P>0.05). Conclusion: Using uncontrollable urinary diversion passed through the skin and bricker operation after total cystectomy shows simple operation, short postoperative recovery time and low early postoperative complication, which has high value of widespread use.
