中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
13期
34-35
,共2页
郑保良%孙国庆%宋瑞彬%赵永体%崔志刚
鄭保良%孫國慶%宋瑞彬%趙永體%崔誌剛
정보량%손국경%송서빈%조영체%최지강
腹腔镜%开放手术%膀胱根治性切除%原位回肠新膀胱术%效果
腹腔鏡%開放手術%膀胱根治性切除%原位迴腸新膀胱術%效果
복강경%개방수술%방광근치성절제%원위회장신방광술%효과
Laparoscope%Open operation%Radical resection of bladder%In situ ileum new bladder surgery%Effect
目的：比较腹腔镜与开放膀胱根治性切除-原位回肠新膀胱术治疗侵润性膀胱癌患者的临床效果。方法回顾性分析该院自2009年1月—2012年6月收治的36例侵润性膀胱癌患者的临床资料，按照不同术式分为腹腔镜组（n=16）和开放手术组（n=20）。比较两组患者围手术期情况、术后并发症和术后1年的膀胱功能。结果观察组手术时间明显长于对照组[（366.8±42.5） min vs（308.4±38.2） min]，而术中出血量[（482.3±23.5） mL vs（1078.3±344.6） mL]和术后住院时间[（22.8±3.7） d vs（28.6±4.9） d]均明显小于对照组，差异有统计学意义（P<0.05）。观察组术后并发症明显少于对照组，差异有统计学意义（P<0.05）；而两组患者术后1年的膀胱容量、膀胱内压和残余尿差异无统计学意义（P>0.05）。结论腹腔镜下膀胱根治性切除术-原位回肠新膀胱术对机体损伤小、术后恢复快和并发症较少的优点，且术后膀胱功能与开放手术相当，是一种值得推广应用的术式。
目的：比較腹腔鏡與開放膀胱根治性切除-原位迴腸新膀胱術治療侵潤性膀胱癌患者的臨床效果。方法迴顧性分析該院自2009年1月—2012年6月收治的36例侵潤性膀胱癌患者的臨床資料，按照不同術式分為腹腔鏡組（n=16）和開放手術組（n=20）。比較兩組患者圍手術期情況、術後併髮癥和術後1年的膀胱功能。結果觀察組手術時間明顯長于對照組[（366.8±42.5） min vs（308.4±38.2） min]，而術中齣血量[（482.3±23.5） mL vs（1078.3±344.6） mL]和術後住院時間[（22.8±3.7） d vs（28.6±4.9） d]均明顯小于對照組，差異有統計學意義（P<0.05）。觀察組術後併髮癥明顯少于對照組，差異有統計學意義（P<0.05）；而兩組患者術後1年的膀胱容量、膀胱內壓和殘餘尿差異無統計學意義（P>0.05）。結論腹腔鏡下膀胱根治性切除術-原位迴腸新膀胱術對機體損傷小、術後恢複快和併髮癥較少的優點，且術後膀胱功能與開放手術相噹，是一種值得推廣應用的術式。
목적：비교복강경여개방방광근치성절제-원위회장신방광술치료침윤성방광암환자적림상효과。방법회고성분석해원자2009년1월—2012년6월수치적36례침윤성방광암환자적림상자료，안조불동술식분위복강경조（n=16）화개방수술조（n=20）。비교량조환자위수술기정황、술후병발증화술후1년적방광공능。결과관찰조수술시간명현장우대조조[（366.8±42.5） min vs（308.4±38.2） min]，이술중출혈량[（482.3±23.5） mL vs（1078.3±344.6） mL]화술후주원시간[（22.8±3.7） d vs（28.6±4.9） d]균명현소우대조조，차이유통계학의의（P<0.05）。관찰조술후병발증명현소우대조조，차이유통계학의의（P<0.05）；이량조환자술후1년적방광용량、방광내압화잔여뇨차이무통계학의의（P>0.05）。결론복강경하방광근치성절제술-원위회장신방광술대궤체손상소、술후회복쾌화병발증교소적우점，차술후방광공능여개방수술상당，시일충치득추엄응용적술식。
Objective To compare the clinical effect of laparoscopic and open radical resection of bladder in situ ileum new blad-der surgery for the treatment of patients with invasive bladder cancer. Methods The clinical data of 36 patients with invasive blad-der cancer admitted in our hospital from January, 2009 to June, 2012 were retrospective analyzed. And they were divided into la-paroscopic group (observation group, n=16) and open surgical group (control group, n=20) according to the different operation. The perioperative status and postoperative complications and bladder function 1 year after the operation were compared between the two groups. Results The operation time of the observation group was significantly longer than that of the control group [ (366.8 ± 42.5) min vs (308.4±38.2)min], while the intraoperatve blood loss [(482.3±23.5) ml vs (1078.3±344.6)ml] and length of stay [(22.8±3.7) d vs (28.6±4.9)d] were smaller than those of the control group, the differences were statistically significant (all P<0.05). The postoperative complications of the observation group was obviously less than those of the control group, the difference was statistically significant (P<0.05); and the differences in bladder capacity, intravesical pressure and residual urine in bladder 1 year after the operation between the two groups were not statistically significant (all P>0.05). Conclusion Laparoscopic radical re-section of bladder in situ ileum new bladder surgery has the advantages of causing minimal damage to the body, postoperative re-cover faster, fewer complications, and the postoperative bladder function is equivalent to that of the open operation, which is wor-thy of popularization and application.
