摘要
目的 探讨膀胱自扩大术与回肠膀胱扩大术治疗高反射性神经源性膀胱功能障碍患者的临床疗效和安全性.方法 将40例高反射性神经源性膀胱功能障碍患者按手术方式分为膀胱自扩大术组和回肠膀胱扩大术组,每组20例.对比分析两组患者手术时间、膀胱增加容量、肠道恢复时间、手术前后膀胱容量及术后并发症发生率.结果 手术后两组膀胱容量显著大于手术前（P〈0.01）;手术后回肠膀胱扩大术组膀胱容量及膀胱增加容量显著大于膀胱自扩大术组（P〈0.01）,手术时间及术后肠道恢复时间显著长于膀胱自扩大术组（P〈0.01）;术后回肠膀胱扩大术组并发症发病率为65.0%,膀胱自扩大术组未出现并发症,回肠膀胱扩大术组并发症发生率显著高于膀胱自扩大术组（χ2=19.26,P〈0.01）.结论 对高反射性神经源性膀胱功能障碍患者行膀胱自扩大术治疗操作简单、安全性高;行回肠膀胱扩大术治疗效果显著,适应症较广,但并发症发生率较高.
Objective To investigate the clinical efficacy and safety of bladder augment and ileum augmen tation cystoplasty in the treatment of high reflex neurogenic bladder dysfunction （NBD）. Methods 40 pa tients with high reflex NDB were recruited. Based on different surgeries, they were divided into bladder augment （BA） group （n=20） and ileum augmentation cystoplasty （IU） group （n=20）. The comparison of surgery time, increased volume of bladder, intestinal recovery time, bladder volume and postoperative complications between two groups were conducted. Results After surgery, the bladder volume of two coups were significantly higher than those before treatment （P〈0.01） ; the bladder volume and increased volume of bladder in IU Group were significantly higher than those in BA group （P〈0.01） ; surgery time and intestinal recovery time in IU group were significantly longer than those in BA group （P〈0.01） ; the rate of complication in was 65%, in contrast to nil case in BA group, and the difference was statistically significant （x2 = 19.26, P〈0.01）. Conclusion For the treatment of high reflex NDB, BA surgery is sire ple and safe; and IU is more effective with more indications, and yet a higher incidence of complications.
作者
彭浩
Peng Hao(Zhoukou Central Hospital, Zhoukou 466000, Henan , Chin)
出处
《临床心身疾病杂志》
CAS
2017年第5期74-76,共3页
Journal of Clinical Psychosomatic Diseases
