中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2012, Vol. 41 ›› Issue (1): 83–86.

• 临床医学 • 上一篇    下一篇

回肠膀胱术与原位回肠新膀胱术的临床比较研究

何卫阳1,苟 欣1,任国胜2,肖明朝1,王 明1,邓远忠1,汤召兵1   

  1. (重庆医科大学附属第一医院1.泌尿外科,2.内分泌外科,重庆 400016)
  • 收稿日期:2012-09-19 修回日期:2012-09-19 出版日期:2012-01-01 发布日期:2012-09-21

Ileal Conduit vs Orthotopic Ileal Neobladder after Radical Cystectomy in Patients with Bladder Cancer: A Clinical Retrospective Study

  1. (Department of Urology, The First Affiliated Hospital, Chongqing Medical University, ChongQing 400016, China)
  • Received:2012-09-19 Revised:2012-09-19 Online:2012-01-01 Published:2012-09-21

摘要: 目的 探讨分析全膀胱切除术后2种尿流改道术式的临床效果及并发症。方法 回顾分析我科从2003年05月至2009年12月间126例膀胱癌全膀胱切除患者(其中行回肠膀胱术45 例,原位回肠新膀胱术81 例)的临床资料、手术近、远期并发症,并进行比较研究。结果 回肠膀胱术组的尿瘘、不全肠梗阻、手术时间、平均住院天数、对上尿路的损害及围手术期死亡率均明显低于原位回肠新膀胱术组,差异均具有统计学意义(P0.05)。结论 回肠膀胱术与原位回肠新膀胱术都是较好的膀胱全切术后尿流改道方式,但回肠膀胱术因操作相对简单、并发症少,应为高龄及合并基础疾病患者的优先选择。

关键词: 膀胱肿瘤, 根治性膀胱切除术, 尿流改道

Abstract: Objective To compare the clinical effects and surgical complications of ileal conduit and orthotopic ileal neobladder in the patients who underwent radical cystectomy. Methods: Retrospective analysis clinical data, surgical complications of short and long-term of 126 patients with radical cystectomy for bladder cancer (45 with ileal conduit and 81 with orthotopic ileal neobladder) in our hospital during the past 6 years. Results Urinary fistula, incomplete intestinal obstruction, operation time, average hospital stay, upper urinary tract damage and perioperative mortality rates in ileal neobladder group were significantly lower than that of the orthotopic ileal neobladder groups (P 0.05). Conclusion The ileal conduit and orthotopic ileal neobladder are both good forms of urinary diversion, but ileal neobladder due to relatively simple, less complications, should be preferred surgical approach for the elderly and patients with underlying diseases.

Key words: Bladder neoplasms, Radical cystectomy, Urinary diversion

中图分类号: 

  • R737.14
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