根治性膀胱切除患者术后回肠膀胱造口旁疝的发生情况及其影响因素分析

Analysis on the Occurrence of Postoperative Parastomal Hernia of Ileal Bladder in Patients with Radical Cystectomy and Its Influencing Factors

目的分析根治性膀胱切除患者术后回肠膀胱造口旁疝的发生情况及其影响因素。方法回顾性分析2018年1月至2020年5月期间在我院行根治性膀胱切除术的72例患者的临床资料,统计术后回肠膀胱造口旁疝发生情况,并分析其相关影响因素。结果72例根治性膀胱切除患者术后发生回肠膀胱造口旁疝18例,发生率为25.00%。单因素及Logistic回归分析显示,高BMI、未经腹直肌造口、慢性便秘是根治性膀胱切除术后发生回肠膀胱造口旁疝的影响因素(OR>1,P<0.05)。结论高BMI、未经腹直肌造口、慢性便秘可能会增加根治性膀胱切除患者术后回肠膀胱造口旁疝的发生风险,临床应采取措施进行合理干预,以减少回肠膀胱造口旁疝的发生。

Objective To analyze the occurrence of postoperative parastomal hernia of ileal bladder in patients with radical cystectomy and its influencing factors.Methods The clinical data of 72 patients who underwent radical cystectomy in our hospital from January 2018 to May 2020 were retrospectively analyzed.The occurrence of postoperative parastomal hernia of ileal bladder was counted,and the related influencing factors were analyzed.Results Postoperative parastomal hernia of ileal bladder occurred in 18 cases(25.00%)of 72 patients with radical cystectomy.Univariate analysis and multivariate Logistic regression analysis showed that high BMI,non-transabdominis stomy and chronic constipation were the influencing factors for the occurrence of parastomal hernia of ileal bladder after radical cystectomy(OR>1,P<0.05).Conclusions High BMI,non-transabdominis stomy and chronic constipation may increase the occurrence risk of parastomal hernia of ileal bladder after radical cystectomy.Clinical measures should be taken for reasonable intervention to reduce the occurrence of parastomal hernia of ileal bladder.