探讨膀胱癌患者应用膀胱全切原位W形回肠新膀胱术治疗的临床疗效观察.docVIP

精品论文 参考文献 探讨膀胱癌患者应用膀胱全切原位W形回肠新膀胱术治疗的临床疗效观察 五常市小山子镇卫生院 150211 摘要：目的 研究分析膀胱全切原位W形回肠新膀胱术治疗膀胱癌的临床效果观察。方法 此次研究的对象是选择42例膀胱癌患者，将其临床资料进行回顾性分析，并随机分为观察组与对照组，各21例。对照组应用膀胱全切原位结肠新膀胱术，观察组为膀胱全切原位W形回肠新膀胱术，对比两组临床疗效。结果 对照组并发症发生率为57.1%高于观察组28.6%，差异有统计学意义（Plt;0.05）；对照组术后21 d白天控尿恢复率为71.4%低于观察组95.2%，差异有统计学意义（Plt;0.05）。结论 膀胱全切原位W形回肠新膀胱术治疗膀胱癌疗效确切，并发症少，安全可靠且控尿恢复时间短，值得推广。 关键词：膀胱癌；膀胱全切原位W形回肠新膀胱术；效果 [Abstract] Objective To study the clinical effect of total bladder resection of bladder in the treatment of bladder carcinoma with orthotopic W.Methods 42 cases of bladder cancer were selected and randomly divided into observation group and control group，21 cases in each group.In the control group，all the patients were observed with bladder total resection and bladder operation，and the observation group were all in situ W - shaped ileum bladder operation.The clinical effects of the two groups were compared.Results in the control group，the complication rate was 57.1% higher than those in the observation group（28.6%），the difference was statistically significant（P lt; 0.05）；of the control group after 21 d daytime urinary continence recovery rate was 71.4% lower than those in the observation group was 95.2%，the difference is statistically significant（P lt; 0.05）.Conclusion bladder total resection of W - shaped bladder in the treatment of bladder cancer is effective，less complications，safe and reliable，and the recovery time is short，it is worth to be popularized. [Key words] bladder cancer；total resection of bladder in situ W shape ileum new bladder operation；effect 膀胱癌是在泌尿系统中发生率较高的恶性肿瘤，对于保留膀胱手术或保守治疗无效者均需应用膀胱全切术。术后需重建膀胱，理想效果应为与正常膀胱生理机能最大限度接近，主要特点为顺应性高、内压低、容量高以及抗反流机制有效等[1]。W形原位回肠新膀胱术于1988年被外国学者提出[2]，该重建方式与其他方式相比与上述特点更加符合，因此在膀胱全切术后重建新膀胱中被广泛应用。此外，亦有结肠重建膀胱术，亦有较好效果。本文选取42例患者作为研究对象探讨膀胱全切原位W形回肠新膀胱术治疗膀胱癌的临床疗效，现报告如下。 1 资料与方法 1.1 一般资料 选取韶关市第三人民医院泌尿外科2013年6月～2015年6月收治的42例膀胱癌患者作为研究对象。排除肿瘤远处转移、尿道狭窄、尿道转移、腹腔严重疾病以及尿失禁患者。随机分为观察组与对照组，各21例。对照组男女比例为19：2，年龄39～77岁，平均年龄（58.4plusmn;9.2）岁；癌症类型：16例为尿