改良式Bricker回肠膀胱术与经典式Bricker回肠膀胱术并发症的比较  

A Comparison of Complications between a Modified Bricker Urinary Diversion and Classic Bricker Urinary Diversion

作　　者：曾星[1] 胡志全[1] 王志华[1] 李恒[1] 庄乾元[1] 叶章群[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科 华中科技大学同济医院泌尿外科研究所,武汉430030

出　　处：《肿瘤防治研究》2014年第1期57-60,共4页Cancer Research on Prevention and Treatment

摘　　要：目的比较分析改良式Bricker回肠膀胱术与经典式Bricker回肠膀胱术并发症的发病情况。方法回顾总结46例改良式Bricker回肠膀胱术和52例经典式Bricker回肠膀胱术,应用Clavien-Dindo并发症分级系统进行分析。结果改良式Bricker回肠膀胱术组并发症发生率为34.8%(16/46),经典式Bricker回肠膀胱术并发症发生率为67.3%(35/52),改良式Bricker回肠膀胱术组并发症发生率明显降低,且重度并发症发生率较低(30 d,4.3%vs.15.4%;90 d,6.5%vs.17.3%)。结论Clavien-Dindo并发症分级系统可作为根治性膀胱切除术尿流改道术后并发症的分析研究,改良式Bricker回肠膀胱术较经典Bricker回肠膀胱术可有效降低术后并发症,患者术后生活质量更高。Objective To compare and analysis the differences between a modified Bricker urinary diversion and classic Bricker urinary diversion. Methods Clinical data of 46 cases modified Bricker urinary diversion and 52 cases classic Bricker urinary diversion were summarized and analyzed respectively. Complications were noted and graded according to the Clavien-Dindo grading system. Results 34.8%(16/46)cases with modified Bricker urinary occurred complications, 67.3%(35/52)cases with classic Bricker urinary diversion occurred complications. Patients received modified Bricker urinary diversion had better outcome than patients received classic Bricker urinary diversion(30d, 15.4% vs. 4.3%; 90d, 17.3% vs. 6.5%). Conclusion Our results supported the importance and applicability of the Clavien-Dindo grading system could be utilized in the study of complications after urinary diversion, the life quality of modified Bricker urinary diversion is much more satisfactory.

关 键 词：膀胱肿瘤 根治性膀胱切除术 尿流改道术 

分 类 号：R737.14[医药卫生—肿瘤]