膀胱全切除肠代膀胱术后肠道功能恢复的相关分析

The correlation analysis of cystectomy after intestinal neobladder recovery of bowel function

目的:探讨并研究膀胱全切除肠代膀胱术后肠道功能恢复的相关分析。方法:选取收治的30例需要进行膀胱全切除的患者,将其作为临床研究对象,针对患者采用两种不同的方式进行切除,对照组采用常规方式进行切除,试验组采用回肠导管术方式进行治疗。结果:试验组采用回肠导管术方式与常规方式相比,试验组患者术后的肠鸣音时间,术中肠吻合时间,术后肠道恢复通气时间,以及术后第一次排便时间以及术后出院时间明显优于对照组。差异具有统计学意义(P<0.05)。结论:试验组采用的回肠导管术方式对于膀胱全切除肠代膀胱术后肠道功能恢复时间较早,对于术后的整体疗效较好,因此值得在临床上进行广泛应用。

Objective To investigate and study the correlation analysis of cystectomy after intestinal neobladdcr recovery of bowel function. Method 30 cases of the need for cystectomy patients were selected as a clinical study, conducted resection for patients with two different ways, the control group was given conventional methods resection, the experimental group was given ileal conduit operation mode for treatment. Results The experimental group used ileal conduit operation mode compared with conventional methods, the experimental group patients after bowel sounds time, intraoperative intestinal anastomosis time, postoperative intestinal recovery ventilation time, and the first bowel movement after surgery and postoperative discharge time were significantly better than the control group. The difference was statistically significant （ P 〈 0. 05 ）. Conclusion The experimental group used ileal conduit operation mode of recovery time of bowel functiong is earlier compared with cystectomy after intestinal neobladder recovery of bowel function, the overall efficacy of surgery is better, So it is worthy be widely used in clinic.