肠道膀胱扩大术治疗神经源性膀胱的临床效果

Clinical Effect of Intestinal Bladder Enlargement in the Treatment of Neurogenic Bladder

目的探究神经源性膀胱患者接受肠道膀胱扩大术治疗的效果。方法方便选取神经源性膀胱患者100例(时间所选为2014年1月—2018年6月)为该研究对象,将其随机分组,实验组行肠道膀胱扩大术治疗,对照组则行膀胱自扩大术治疗,分析2组神经源性膀胱患者治疗的结果。结果实验组神经源性膀胱患者治疗的总有效率(100.00%)明显高于对照组的总有效率(90.00%)(χ2=8.163,P=0.004);2组治疗后的膀胱容量均较治疗前增加,其中实验组治疗后的膀胱容量高于对照组(P<0.05);实验组手术用时、肠道恢复时间低于对照组,差异有统计学意义(P<0.05);2组患者的并发症发生率相比,差异无统计学意义(χ^2=0.030,P=0.861)。结论神经源性膀胱患者接受肠道膀胱扩大术治疗,可取得较好的效果,且并发症少。

Objective To investigate the effect of patients with neurogenic bladder undergoing intestinal enlargement.Methods Convenient selection 100 patients with neurogenic bladder(time selected from January 2014 to June 2018)were selected for this study.The experimental group was treated with intestinal enlargement and the control group adopted bladder augmentation and the results of treatment of two groups of neurogenic bladder patients were analyzed.Results The total effective rate(100.00%)of the patients with neurogenic bladder in the experimental group was significantly higher than the total effective rate of the control group(90.00%)(χ^2=8.1633,P=0.004);the bladder capacity of the two groups after treatment was higher than that of the control group.Before treatment,the bladder volume of the experimental group was higher than that of the control group(P<0.05).The experimental time and intestinal recovery time of the experimental group were lower than the control group,the difference was statistically significant(P<0.05);there was no statistically significant difference in the incidence of complications(χ^2=0.030,P=0.861).Conclusion Patients with neurogenic bladder undergoing intestinal enlargement can achieve better results with fewer complications.