女性患者腹腔镜与开放性原位回肠新膀胱术后尿流动力学分析

Analysis of urodynamic of women with laparoscopic and open surgery of orthotopic ileal neobladder

目的比较女性患者腹腔镜原位回肠新膀胱术与开放原位回肠新膀胱术后的尿流动力学改变,评价女性腹腔镜下原位回肠新膀胱术的临床疗效。方法选取女性患者,全部由同一术者开展腹腔镜下原位回肠新膀胱术8例,开放性原位回肠新膀胱16例,比较其术后排尿情况及尿流动力学参数。结果 24例原位回肠新膀胱患者大部分能自主控制排尿,比较腹腔镜原位回肠新膀胱术与开放原位回肠新膀胱术术后尿流动力学各参数差异无明显统计学意义。结论女性患者腹腔镜下膀胱根治性切除原位回肠新膀胱术较传统开放性手术术后排尿功能无明显差异,可以替代传统开放性手术。

Objective To comparison the postoperative urodynamic parameters of female patients between laparoscopic orthotopic ileal neobladder surgery and open orthotopic ileal neobladder surgery,and evaluate the clinical efficacy of laparoscopic orthotopic ileal neobladder surgery. Methods The data of 8 female patients who underwent laparoscopic orthotopic ileal neobladder operation and 16 female patients who underwent open orthotopic ileal neobladder surgery by the same operator were collected and analyzed to compare their postoperative voiding and urodynamic parameters. Results Most of the 24 cases of orthotopic ileal neobladder could independently control their micturition, and the postoperative urodynamic parameters between the laparoscopic orthotopic ileal neobladder surgery and open orthotopic ileal neobladder surgery were not significantly different. Conclusions The postoperative voiding function of the laparoscopic bladder radical cystectomy with orthotopic ileal neobladder surgery has no significant difference compared to that of the traditional open operation.Therefore,it can replace the traditional open operation.