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目的:对比分析原位回肠膀胱术与Indiana膀胱术的临床疗效和术后并发症。方法:选取2007~2012年在宜第第一人民医院及遵义医学院附属医院接受原位回肠膀胱术与Indiana膀胱术治疗的患者各20例为研究对象,对其临床治疗进行回顾性分析,比较患者临床疗效和术后并发症等情况。结果:原位回肠膀胱术组患者在出血量为(750±25)ml、手术时间为(380±30)min、住院时间为(33±2)d、术后并发症发生率为8%,各项指标均低于Indiana膀胱术组,两组比较存在显著性差异(P<0.05)。结论:膀胱全切术后行原位回肠膀胱术治疗膀脆癌具有疗效确切,出血量少,手术时间与住院时间短,术后并发症少等优点,显著提高了患者的生活质量,是临床治疗膀胱癌的有效方法,值得在大力推广。
Objective: To compare and analyze the clinical efficacy and postoperative complications of orthotopic ileal bladder surgery and Indiana bladder surgery. Methods: Twenty cases of patients undergoing ileal bladder surgery and Indiana bladder surgery in the First People’s Hospital of Yidu and the Affiliated Hospital of Zunyi Medical College from 2007 to 2012 were selected as the study subjects, and the clinical treatment was retrospectively analyzed and compared Patient’s clinical efficacy and postoperative complications and so on. Results: The patients in the ileal bladder surgery group had a blood loss of (750 ± 25) ml, an operation time of (380 ± 30) min, a hospitalization time of (33 ± 2) days and a postoperative complication rate of 8% All indexes were lower than that of Indiana bladder surgery group, there was significant difference between the two groups (P <0.05). Conclusions: The bladder ileal bladder surgery after bladder mastectomy has the advantages of exact curative effect, less bleeding, shorter operation time and hospitalization time, less postoperative complications, and significantly improves the quality of life of patients. It is a clinical Effective treatment of bladder cancer, it is worth vigorously promote.