原位新膀胱术与肠膀胱术临床效果比较.pdfVIP

摘 要 原位新膀胱术与回肠膀胱术临床效果比较 研究生：张发东 导师：王玉杰 副教授 摘 要 目的：比较膀胱肿瘤患者膀胱全切术后行原位新膀胱术与回肠膀胱术的临床治 疗效果及术后早期并发症。方法：选择我科 2000 年至 2009 年行根治性膀胱切除术 治疗膀胱尿路上皮细胞癌 65 例的患者资料，其中行原位新膀胱术的 31 例，回肠膀 胱术的 34 例。比较两组一般情况、围手术期的情况(术中失血量、手术时间、肠功能 恢复时间、住院天数) 以及术后早期并发症等指标。结果：两种术式在术中失血量 (1140.32 ±492.82ml VS 920.91 ±410.48ml) 、手术时间(464.81 ±79.37min VS 413.32 ±99.54min)、住院天数(47.68 ±7.53d VS 41.09 ±8.12d)等方面差异有统计学意 义( P 0. 05) 。结论：原位新膀胱术较回肠膀胱术虽手术步骤复杂，术中出血较多， 但因手术安全，可自主性控制排尿，明显提高患者的生活质量而易于接受，是值得 推荐的膀胱替代手术方式，在根治性膀胱切除术中值得优先采用。 关键词：原位新膀胱术； 回肠膀胱术； 比较 —1— 新疆医科大学医学学位论文 The Comparison of Efficacy Between Orthotopic Neobladder and Bricker Operation Postgraduate:Zhang Fadong Supervisor: Prof.Wang Yujie Abstract Objective: To compare the clinical curative effect and postoperative early complications between orthotopic neobladder and Bricker operation of patients who underwent radical cystectomy because of bladder tumor. Method: A retrospective review was done on 65 patients with transitional cell carcinoma of bladder after radical cystectomy from 2000 to 2009, 31 patients with orthotopic neobladder and 34 patients with bricker operation. Parameters associated with the generral conditions, the surgical procedures( amount of bleeding during operation, operative time, recuperative time of enteral function, the hospital stay), early complications were compared between the two groups. Result: Only the amount of bleeding during operation, the time of operation, length of stay and between two groups with significance di