输出道缩窄悬吊增强可控回肠膀胱术与传统回肠膀胱术5年疗效回顾性分析

Comparison of clinical efficacy of enhancement controllable output channel narrowed ileal bladder suspension surgery with traditional ileal neobladder

目的比较膀胱全切术后行输出道缩窄悬吊增强可控回肠膀胱术与传统回肠膀胱术的临床疗效及并发症情况。方法回顾性分析2001年1月至2009年8月在安徽医科大学附属安徽省立医院泌尿外科行膀胱全切术后的膀胱癌患者的临床资料(行输出道缩窄悬吊增强可控回肠膀胱术治疗42例及传统回肠膀胱术46例),对比分析围术期情况、术后并发症及肿瘤进展情况。结果两种术式在术中出血量、术后住院时间、术后远近期并发症比较,差异无统计学意义(P>0.05)。输出道缩窄悬吊增强可控回肠膀胱组术后控尿生活质量较之传统手术组明显提高(P<0.05)。结论输出道缩窄悬吊增强可控回肠膀胱术具有良好的安全性及临床疗效,对于不适合原位新膀胱术且要求控尿者尤为适合。

Objective To evaluate the safety and efficacy and explore the clinical application value of the enhancement controllable output channel narrowed ileal bladder suspension surgery and traditional ileal neobladder after total cystectomy.Methods From January 2001 to August 2009,42 patients with bladder cancer received enhancement controllable output channel narrowed ileal bladder suspension surgery after total cystectomy;and 46 patients received ileal neobladder after total cystectomy.Their clinical data,perioperative situation,postoperative complications and tumor progress were analyzed.Results In regard to the blood loss,postoperative hospital stay,and postoperative recent or far complications,both surgical methods had no significant statistical difference（P〈0.05）.The group of Enhanced controllable output channel narrowing ileal bladder suspension surgery was good control of urination after operation（P〈0.05）.Conclusion Enhancement controllable output channel narrowed ileal bladder suspension surgery has good clinical effect and safety.It is especially suitable for the patients who need control inurine and don′t accepted orthotopic neobladder.