膀胱癌原位新膀胱术后切口相关并发症预防与干预的研究进展  

Research progress on prevention and intervention of incision-related complications after orthotopic neobladder surgery for bladder cancer

作　　者：曾世平 李宁[1] 王海峰 王剑松(综述)[1] 左毅刚(审校)[1] Shiping Zeng;Ning Li;Haifeng Wang;Jiansong Wang;Yigang Zuo(Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650000,China)

机构地区：[1]昆明医科大学第二附属医院泌尿外科,昆明市650000

出　　处：《中国肿瘤临床》2020年第12期637-639,共3页Chinese Journal of Clinical Oncology

摘　　要：膀胱癌发病率在我国呈逐年上升趋势,每年新诊断的病例中近三分之一为肌层浸润性膀胱癌(muscle invasive bladder cancer,MIBC),MIBC的标准治疗方案仍是行膀胱根治性切除(radical cystectomy,RC)及盆腔淋巴结清扫术。原位新膀胱术(orthotopic neobladder,ONB)是RC术后尿流改道的主要方式,但术后尿路、肠道以及切口相关并发症较多,本文将就ONB术后切口并发症发生机制以及预防和处理措施进行综述,以期为临床提供帮助。The incidence of bladder cancer is increasing in China.Each year,nearly one third of newly diagnosed cases are muscle invasive bladder cancer(MIBC).The standard treatment for patients with MIBC is radical cystectomy(RC)with pelvic lymphadenectomy.Orthotopic neobladder(ONB)surgery is the primary method of urinary diversion after RC.However,ONB surgery is associated with many post-operative complications related to the urinary tract,intestine,and incision site.Here,we review the mechanism,prevention,and treatment measures of incision complications after ONB surgery.

关 键 词：肌层浸润性膀胱癌 原位新膀胱术 切口 并发症 

分 类 号：R737.14[医药卫生—肿瘤]