腹腔镜下根治性膀胱切除回肠膀胱术后胃排空障碍的影响因素分析  

Analysis of Influencing Factors of Functional Delayed Gastric Emptying After Laparoscopic Radical Cystectomy and Bricker Operation

作　　者：李浩 张鹤骞 滕立臣 LI Hao;ZHANG Heqian;TENG Lichen(Harbin Medical University Cancer Hospital,Harbin,150081)

机构地区：[1]哈尔滨医科大学附属肿瘤医院,150081

出　　处：《实用癌症杂志》2024年第2期291-295,共5页The Practical Journal of Cancer

摘　　要：目的分析腹腔镜下根治性膀胱切除回肠膀胱术后出现功能性胃排空障碍的影响因素。方法选取69例膀胱癌患者,均行腹腔镜下根治性膀胱切除回肠膀胱术,并收集所有患者的一般资料、基础疾病、不良嗜好、腹部手术史、手术时长、术中出血量、术中输血情况、术前及术后外周血化验指标以及肿瘤的病理资料等情况,分析回肠膀胱术后出现胃排空障碍的影响因素。结果69例患者中术后未发生胃排空障碍的54例患者为对照组,发生胃排空障碍的15例患者为观察组。单因素分析结果显示:观察组术后空腹血糖值和手术时长高于对照组,而术前及术后血清白蛋白值低于对照组,具有统计学意义(P<0.05);Logistic回归分析显示:术前血清白蛋白值、手术时长和术后空腹血糖值是回肠膀胱术后发生胃排空障碍的独立影响因素(P<0.05)。结论腹腔镜下根治性膀胱切除回肠膀胱术后胃排空障碍的发生与术前血清白蛋白值、手术时长和术后空腹血糖值等影响因素密切相关。Objective To analyze the influencing factors of functional delayed gastric emptying after laparoscopic radical cystectomy and bricker operation.Methods 69 patients with bladder cancer were selected and underwent laparoscopic radical cystectomy and bricker operation.The general data,basic diseases(hypertension,diabetes),bad habits,history of abdominal operation,length of operation,intraoperative blood loss,intraoperative blood transfusion,preoperative and postoperative peripheral blood test indexes and tumor pathological data of all patients were collected.To analyze the influencing factors of gastric emptying after bricker operation.Results Among the 69 patients,54 patients without disturbance of gastric emptying after operation were the control group,and 15 patients with disturbance of gastric emptying were taken as the observation group.The results of univariate analysis showed that the value of fasting blood glucose and the duration of operation in the observation group were higher than those in the control group,while the level of serum albumin before and after operation in the observation group was significantly lower than that in the control group(P<0.05).Logistic regression analysis showed that preoperative serum albumin value,operation time and postoperative fasting blood glucose value were independent influencing factors of postoperative gastric emptying after ileal bladder operation(P<0.05).Conclusion The occurrence of functional delayed gastric emptying after laparoscopic radical cystectomy and bricker operation is closely related to preoperative serum albumin,operation duration and postoperative fasting blood glucose.

关 键 词：回肠膀胱术 功能性胃排空障碍 影响因素 

分 类 号：R737.14[医药卫生—肿瘤]