膀胱肿瘤术后病人健康相关生活质量调查.docxVIP

华中科技大学硕士学位论文 结论： 回肠膀胱术与输尿管皮肤造口术后患者的健康相关生活质量无统计学差异；原位 型回肠新膀胱术术后患者健康相关生活质量高于回肠膀胱术及输尿管皮肤造口术患者；三组患者健康相关生活质量的差别主要在膀胱癌特异性模块及功能状况领域；原位 W 型回肠新膀胱术患者术后能更好的参加工作及社会活动，能更好的享受生活，对自身外观形象的满意度更高。因此，在选择尿流改道时，应优先考虑行原位 W 型回肠新膀胱术以提高患者的生活质量。本研究是回顾性、横断面、非随机的研究，病例数少，随访时间不长，想更全面的评价不同尿流改道术后患者的健康相关生活质量，有待于多中心、大样本、更长期的随访和分析。 关键词： 健康相关生活质量，膀胱癌，根治性膀胱切除术，尿流改道，回肠膀胱术，输尿 管皮肤造口术，原位新膀胱术 2 华中科技大学硕士学位论文 Surveyofhealthrelatedqualityoflifeinpatientfollowedr adicalcystectomy and urinary diversion Department of Urology，Union Hospital，Tongji Medical College， Huazhong University of Science and Technology Candidate: Zhou Ade Supervisor: Xiao Yajun Abstract Objective: Using bladder cancer specific measurement FACT-BL to evaluate quality of life of patients who underwent the operation of orthotopic W ileal neobladder、ileal conduit and cutaneous ureterostomy after radical cystectomy in our hospital. Comparing the differences among three types of urinary diversion and exploring the reasons for these differences in order to provide the basis for the choice of urinary diversion in the future. Methods and Materials: Collected the patients who underwent the operation of orthotopic W ileal neobladder、 ileal conduit and cutaneous ureterostomy after radical cystectomy in our hospital form January 2006 to December 2009, filter out the cases of male patients who met the suitable cases a total of 291 cases(orthotopic W ileal neobladder 221 cases, ileal conduit 28 cases, cutaneous ureterostomy 42 cases), then collected the information of the patients after obtain their consent and followed-up to the completion of the bladder cancer specific measurement FACT-BL. Compare three urinary diversion patients after 3 months, 6 months, 12 months, 24 months at different times in different areas (physical well being, social / family well being, emotional well being, functional well being and bladder cancer-specific sections) the FACT-BL scale score and overall score changes were statistically analyzed to determine whether the statisti