中国内镜杂志2017，Vol.23Issue(6)：66-70,5.DOI:10.3969/j.issn.1007-1989.2017.06.014
膀胱癌患者微创切除术后不同尿流改道方案的临床效果对比
Comparison of different urinary diversion regimens after minimally invasive resection for bladder cancer patients
符仕宝 1方茜茜 1何书明 1肖劲逐 1张善斌 1车宪平1
作者信息
- 1. 海南医学院第二附属医院 泌尿外科,海南 海口 570311
- 折叠
摘要
Abstract
Objective To investigate the clinical effects of different urinary diversion regimens after minimally invasive resection of bladder cancer. Methods 127 patients with muscular infiltrating bladder cancer from January 2010 to June 2015 were enrolled in this study. According to the patients' condition, they were divided into orthotopic ileal cystectomy group (58 cases), Bricker bladder surgery group (33 cases), ureteral skin ostomy group (36 cases), then compare the clinical data, postoperative complications and quality of life of the three groups. Results There was no significant difference in the ratio of sex, the distribution of age and tumor staging among the three groups. The operation time and postoperative hospital stay in orthotopic ileal cystectomy group were longer than those in the other two groups. The operation time and postoperative hospital stay of the Bricker bladder surgery group were longer than that in ureteral skin ostomy group, the difference was statistically significant; the bleeding in orthotopic ileal cystectomy group was more than the other two groups, and in Bricker bladder surgery group was more than ureteral skin ostomy group, the difference was statistically significant. There was no significant difference in the recovery time of intestinal function among the three groups. The recovery time of intestinal function in ureteral skin ostomy group was shorter than that in the other two groups, the difference was statistically significant. There was no significant difference in the incidence of short-term complications of the three groups of patients. The incidence of long-term complications of orthotopic ileal cystectomy group was significantly higher than the other two groups, the difference was statistically significant. The social function scores, and overall health score of orthotopic ileal cystectomy group were higher than the other two groups, the difference was statistically significance. Conclusion Without external device, closer to the characteristics of physiological urination, orthotopic ileal cystectomy holds higher postoperative quality of life, and higher incidence of long-term complications. With advantages of quick recovery and less complications, ureteral skin ostomy is best for patients who can not stand for long time surgery. It should choose the appropriate surgical approach for patients according to individuals' conditions.关键词
尿流改道术/生活质量/膀胱切除术/微创Key words
urinary diversion/quality of life/cystectomy/minimally invasive分类
医药卫生引用本文复制引用
符仕宝,方茜茜,何书明,肖劲逐,张善斌,车宪平..膀胱癌患者微创切除术后不同尿流改道方案的临床效果对比[J].中国内镜杂志,2017,23(6):66-70,5.
