全膀胱切除后尿流改道地疗效观察和生活质量调查.docxVIP

天津医科大学硕士学位论文 in alI aspects of 1ife quality(pO．001)．The other kinds of operation methods are no significant difference in physiological，social relationship，enviromental difference in psychological  aspect(pO．05)，but are significant aspect(pO．001)． Conelusion： Cutaneous ureterostomy is operated casi ly，minimize trauma．But the patients performed with it have low Iife quality．So it refer to the patients that are in bad renditions，elder or can not tolerate other methods．Bricker’s ileal conduit is al so operated easily，with few complications，good long—term effect，but affect the 1ire quality due to engirding urine container in 1ife time．So it is suitable for the pat ients who can not be performed COflt inent ur inary reservoir．Cent inent aTinary reserveir is more complicated，but it i s safe，with good curative effect，increase life quality obviously．Because the patients performed with it can not answer the request of physi0109ical urination，the life quality also can be influenced．It is suitable to the patlents who want to maintain better lire quality but with pathological changes in urethra or high risk factors．Orthotopic ileal neobladder should be chosen first due to the superiorities that approximate physiological urination maximatily。raise Iife quality and decrease incidence rate of urethral cancer．But more statistical evidence and cases are needed to prove the conclusion of this reasearch in orthotopic ileal neobladder． Key Words： Bladder cancer；Urinary diversion；Bladder retortstruction； Radical cystectomy；Quality of 1ife；Complication V 学位论文原创性声明 本人郑重声明：所呈交的论文是我个人在导师指导下独立进行研 究工作取得的研究成果。除了文中特别加以标注引用的内容和致谢的地方外，论文中不包含任何其他个人或集体已经发表或撰写过的研究成果，与我一同工作的同志对本研究所做的任何贡献均已在论文中作了明确的说明并表示了谢意。 、卜冯 学位论文作者 年1月日 学位论 本人完全了解天津医科大学有关保留、使用学位论文的规定，即： 学校有权将学位论文的全部或部分内容编入有关数据库进行检索，并 采用影印、缩印或扫描等复制手段保存、汇编以供查阅和借阅。同意 学校向国家有关部门或机构送交论文，并编入有关数据库。 本论文属于  保密口，在——年解密后适用本授权书· 不保密眵7f． (请在以上方框内打“√”) 懒名：牲 名：鲍血 天津医科大学硕士学位论文 前言 膀胱癌是国人泌尿系统最常见的恶性肿瘤m，近年来发病人数有逐渐增加趋势．膀胱癌分为非肌浸润性膀胱癌(Ta一1及原位癌Ti s)和肌浸润性膀胱癌(T2— 4)