摘要
目的:比较原位回盲肠膀胱(原位组)与可控盲结肠膀胱两种膀胱重建术(可控组)患者的远期生活质量,探讨新膀胱重建的最佳选择方式。方法:以随机问卷方法,对原位组25例和可控组29例男性患者,于术后平均6个月进行生活质量比较。结果:两组问卷回收率分别为92%与90%。原位组23例术后6～40个月(平均26个月),可控组26例术后12～40个月(平均28个月)问卷回收。性生活正常分别为21例、21例,肾功正常分别22例、23例,控尿情况(尿失禁一般)分别6例、1例(P<0.05)。生活情绪一般分别为20例、24例,日常行为无影响分别为22例、22例,并发症(结石、尿漏、血电解质)分别3例结石和血电解质紊乱3例与1例结石(均恢复)(P<0.05)。结论:二者在性生活、肾功、生活情绪无明显差异,但在控尿及术后并发症方面有明显差异,可控盲结肠膀胱较原位回肠膀胱尿控要好。
Objective：To compare the quality of life in men after radical cystectomy who had either an ortho topic ileal bladder（ orthotopic group）or cecocolon continent urinary reservoir（continent group）, to explore the best way of neobladder substitution, Methods： The quality of life was evaluated with a questionare sheet at 6 month after operation and compared between orthotopic group（ n = 25） and continent group （ n = 29）. Results：The questionare sheets were retured by 92% and 90 % of the patients in the two groups respectively. Normal erectile function were fund in 21 cases in orthotopic group and 21 case in continent group. Renal function were normal in 22 cases from orthotopic group and in 23 cases from continent group. Incontinence of urine were noted in 6 cases and 1 case in the two groups respectively（ P 〈0.05）. Conclusions：There were no differences between orthotopic group and continent group in erectile function , renal function, but the differences of continence of urine and complications between two groups were of significance.
出处
《临床泌尿外科杂志》
2007年第1期18-19,22,共3页
Journal of Clinical Urology
关键词
膀胱全切
尿流改道
生活质量
Radical cystectomy
Urinary continent diversion
quslity of life
