不同尿流改道术联合腹腔镜根治性膀胱切除术对膀胱癌患者的影响  

Effect of Different Urinary Diversion Surgery Combined with Laparoscopic Radical Cystectomy on Patients with Bladder Cancer

作　　者：王晓岚 樊游掌[1] 刘超 WANG Xiaolan;FAN Youzhang;LIU Chao(Suzhou Municipal Hospital,Suzhou 215000,China;不详)

机构地区：[1]苏州市立医院,江苏苏州215000

出　　处：《中外医学研究》2024年第32期133-136,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨不同尿流改道术联合腹腔镜根治性膀胱切除术对膀胱癌患者的影响。方法:回顾性选取2021年2月-2022年2月苏州市立医院收治的152例膀胱癌患者。根据不同尿流改道术将其分为常规组(76例)和研究组(76例)。两组均给予腹腔镜根治性膀胱切除术,常规组给予常规尿流改道术,研究组给予原位U形回肠新膀胱术。比较两组围手术期指标,术后30 d的尿动力学指标,并发症,术后6个月和1年生存质量。结果:研究组手术时间、术后住院时间均短于常规组,术中出血量少于常规组,首次下床时间早于常规组,差异有统计学意义(P<0.05)。研究组残余尿量少于常规组,最大尿流率高于常规组,差异有统计学意义(P<0.05)。研究组并发症发生率低于常规组,差异有统计学意义(P<0.05)。研究组术后6个月、术后1年膀胱癌生活质量量表(FACT-BL)评分高于常规组,差异有统计学意义(P<0.05)。结论:原位U形回肠新膀胱术联合腹腔镜根治性膀胱切除术治疗膀胱癌患者效果显著,能够恢复尿动力学,安全可靠,且原位U形回肠新膀胱术手术时间短,促进患者术后恢复,改善生存质量。Objective:To analyze the effect of different urinary diversion surgery combined with laparoscopic radical cystectomy on patients with bladder cancer.Method:A total of 152 patients with bladder cancer admitted to Suzhou Municipal Hospital from February 2021 to February 2022 were retrospectively selected.According to different urinary diversion surgery,they were divided into conventional group(76 cases)and study group(76 cases).Both groups underwent laparoscopic radical cystectomy,the conventional group underwent conventional urinary diversion surgery,and the study group underwent in situ U-shaped ileal neobladder surgery.The perioperative indicators,urodynamic indicators at postoperative 30 d,complications,and quality of life at 6 months and 1 year postoperatively of the two groups were compared.Result:The operation time and postoperative hospital stay of the study group were shorter than those of the conventional group,the amount of intraoperative blood loss was less than that of the conventional group,and the first time of getting out of bed was earlier than that of the conventional group,the differences were statistically significant(P<0.05).The residual urine volume in the study group was less than that in the conventional group,and the maximum urine flow rate was higher than that in the conventional group,the differences were statistically significant(P<0.05).The incidence of complication of the study group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).The functional assessment of cancer therapy scale-bladder cancer(FACT-BL)scores of the study group at 6 months and 1 year after surgery were higher than those of the conventional group,and the differences were statistically significant(P<0.05).Conclusion:In situ U-shaped ileal neobladder surgery combined with laparoscopic radical cystectomy in the treatment of bladder cancer patients has significant effect,can restore urodynamics,is safe and reliable,and the operation time of in-situ U-shaped ileal neobla

关 键 词：原位U 形回肠新膀胱术 常规尿流改道术 腹腔镜根治性膀胱切除术 手术时长 术后住院时间 

分 类 号：R737.14[医药卫生—肿瘤]