腹腔镜膀胱全切正位回肠新膀胱术护理

Nursing Care for the Patient Treatment by Laparoscopic Orthotopic ileal neobladder

目的探讨腹腔镜膀胱全切正位回肠新膀胱术护理规范。方法浸润性膀胱癌患者26例，术前心理护理，术后加强基础护理、弓l流管护理，注重新膀胱的功能训练。结果腹腔镜膀胱全切正位回肠新膀胱术均获成功。随访时间为3～12个月（平均8个月），术后6个月时，患者白天和夜间的尿控率分别为88．5％（23／26）、80．8％（21／26）。结论心理护理、引流管护理、术后新膀胱的控尿训练，是本手术成功的关键因素，是该手术护理规范重要研究方向。

Objective To explore the standard nursing care of operation Laparoscopic Orthotopic ileal neobladder. Methods 26 cases of invasive bladder cancer, Do well preoperation guidance and mental nursing, strengthen the observation after the operation, implement good basic nursing at the same time strictly, do a good job of the nursing of the drainage tube, put in effect training the function of neobladder. Results Tintracoiporeal laparoscopie radical cystectomy were successful.All cases were followed up for 3 to 12months （average 8 months）. By the end of 6 months, the mean of continence rate was, daytime and night respectively 88.5%（23/26）, 80.8%（21/26）. Conclusion Mental nursing,the drainage nursing tube,training the function of neobladder are the key pnints of success,is an important research direction of nude standard.