根治性膀胱切除术后尿流改道患者健康相关生活质量评估  

Assessment of health-related quality of life in patients with urinary diversion after radical cystectomy

作　　者：董治春 张丹[1] 田俊强[1] 侯娟娟 王振运 Dong Zhi-chun;Zhang Dan;Tian Jun-qiang;Hou Juan-juan;Wang Zhen-yun(Department of Urology,The Second Hospital of Lanzhou University,Lanzhou 730030,China;a Department of Clinical Laboratory,Qingyang People's Hospital,Qingyang 745106,Gansu,China;Department of Urology,Qingyang People's Hospital,Qingyang 745106,Gansu,China)

机构地区：[1]兰州大学第二医院泌尿外科,甘肃兰州730030 [2]庆阳市人民医院检验科,甘肃庆阳745106 [3]庆阳市人民医院泌尿外科,甘肃庆阳745106

出　　处：《兰州大学学报（医学版）》2022年第12期90-95,共6页Journal of Lanzhou University（Medical Sciences）

基　　金：中国医药教育协会2022重大科学攻关课题和医药技术难题重点课题资助项目(2022KTZ007)。

摘　　要：不同的尿流改道方式会对患者术后的生活产生巨大影响,膀胱癌根治术后尿流改道方式的选择一直困扰着泌尿外科医生和膀胱癌患者。本文从以下几方面进行回顾性分析:概括目前经过验证的几种常用的健康相关生活质量评分量表,并分析彼此的优缺点;总结不同尿流改道方式对患者术后健康相关生活质量的影响;比较不同手术入路的膀胱癌患者术后健康相关生活质量的研究结果;分析女性膀胱根治性切除术后健康相关生活质量,并提出可能的改善措施。通过这些回顾性分析,期待能帮助泌尿外科医生和膀胱根治性切除术后的患者选择合适的尿流改道方式提供循证医学证据。The choice of urinary diversion methods after radical cystectomy makes trouble for urologists and bladder cancer patients,because different urinary diversion methods have a huge impact on radical cystectomy patients.In this article,we reviewed the quality of life in radical cystectomy patients from the following aspects:summarized several commonly used tools for evaluating the quality of life in patients after radical cystectomy,and analyzed the advantages and disadvantages of each other;Analyzed the results of studies on the quality of life of patients with different urine diversion methods;Compared the study results of postoperative health-related quality of life in bladder cancer patients with different surgical approaches;Analyzed health-related quality of life after radical cystectomy for women,and suggested possible improvement measures,specifically.It is expected to help urologists and bladder cancer patients to provide medical evidence for the selection of appropriate urinary diversion methods by this retrospective analysis.

关 键 词：肌层浸润性膀胱癌 根治性膀胱切除术 尿流改道 

分 类 号：R692[医药卫生—泌尿科学]