摘要
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。
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.
出处
《广州医科大学学报》
2015年第4期79-82,共4页
Academic Journal of Guangzhou Medical University
