膀胱全切原位膀胱术两种手术方式的术后生活质量对比研究

Radical cystectomy with orthotopic ileal neobladder:comparison of quality of life in patients with Laparoscopy vs open surgery

目的探讨腹腔镜下与开放式膀胱全切回肠原位膀胱两种手术方式对患者生活质量的影响及术后患者排尿生理功能恢复和并发症发生情况有无差异。方法采用问卷调查,分别随访腹腔镜与开放式膀胱全切回肠原位膀胱术后半年的患者各20例。结果20例腹腔镜膀胱全切回肠原位膀胱术后患者躯体、心理和生理功能方面及生活质量总评分显著优于开放式膀胱全切回肠原位膀胱术后患者,并且其术后患者自主排尿恢复时间短,术后并发症发生率低。结论腹腔镜膀胱全切回肠原位膀胱术后患者生活质量优于开放式膀胱全切回肠原位膀胱术患者,且术后并发症发生率低。

Objective To compare the quality of life, micturition function recovery and complication of laparocopic radical cystectomy in patients receiving orthotopic ileal neobladder(LRC 1NB) vs open radical cystectomy.(ORC INB).MethodsA total of 40 patients were evaluated with questionnaire including 20 undergoing LRC SNB and 20, ORC INB.ResultsPhysical, psychological function and gross score of quality of life in patients receiving LRC INB were significantly superior to that of those receiving ORC SNB.The micturiti...