两种尿流改道术对老年膀胱全切除术患者术后短期并发症的影响.docVIP

两种尿流改道术对老年膀胱全切除术患者术后短期并发症的影响 　　摘 要 目的：探讨两种尿流改道术对老年膀胱全切除术患者术后短期并发症的影响。方法：选取78例我院收治的老年膀胱癌全切除术患者，按数字随机法将患者分为A组和B组，每组患者39例，A组和B组患者分别采用输尿管皮肤造口术和原位新膀胱术的尿流改道手术。比较两组术后短期并发症、手术时间、伤口愈合时间、肠道功能恢复时间和疗效。结果：A组患者短期并发症发生率和总并发症发生率均较B组降低，手术时间、伤口愈合时间和肠道功能恢复时间则较B组缩短，差异有统计学意义（P0.05）。与B组比较，A组患者治疗效果显著比例和总治疗有效率均显著提高，差异有统计学意义P0.01）。结论：输尿管皮肤造口术较原位新膀胱术可更有效减少并发症的发生，缩短手术时间、伤口愈合时间和肠道功能恢复时间并提高治疗效果，值得临床推广使用。 　　关键词 输尿管皮肤造口术 尿流改道术 膀胱全切除术 术后并发症 　　中图分类号：R699； R737.14 文献标识码：B 文章编号：1006-1533（2014）15-0055-04 　　Influence of two kinds of urinary diversion operation on short-term 　　complications in elderly patients with bladder cancer radical operation* 　　WANG Lei 　　（Uropoiesis Surgical Department， People’s Hospital of YiChun City， Jiangxi Province， Yichun 336000， China） 　　ABSTRACT Objective： To investigate the influence of two kinds of urinary diversion operation on short-term complications in elderly patients with bladder cancer radical operation. Methods： Seventy-eight cases of elderly patients in our hospital were divided into group A and B with 39 patients each according to digital random method and the patients were treated with ureterocutaneostomy （in group A） or neobladder （in group B） urinary diversion operation. Short-term complications and times for operation， postoperative wound healing， the recovery of intestinal function and the curative effect were compared. Results： Incidence of short-term complications and total complication was lower in group A than in group B， and times for operation， wound healing and the recovery of intestinal function were less in group A than in group B. The differences were statistically significant （P0.05）. Compared with group B， the ratio of patients with significant therapeutic efficacy and the total effective rate were significantly improved in group A， and the differences were statistically significant （P0.01）. Conclusion： Ureterocutaneostomy urinary diversion operation can more effectively reduce the incidence of short term complications， shorten the