摘要
目的对腹腔镜与开放性原位回肠新膀胱术在膀胱癌中的治疗效果予以对比分析。方法随机选取我院2013年1月至2016年2月间收治的膀胱癌患者60例,将其随机均分为两组,分别作为对照组与观察组,为对照组患者应用开放型原位回肠新膀胱术开展治疗,为观察组患者应用腹腔镜原位回肠新膀胱术开展治疗,对比分析两组患者的临床治疗效果。结果两组患者手术后的盆腔淋巴结清扫阳性率、剩余尿量、新膀胱内压、新膀胱容量比较差异不具备统计学意义,但是观察组患者术后最大尿流率、夜间尿控率、日间尿控率等明显大于对照组,差异具有统计学意义;观察组患者的术后排便时间、肛门排气恢复时间、术中出血量等少于对照组,且差异具有统计学意义。结论在为膀胱癌患者开展治疗的过程中,应用腹腔镜原位回肠新膀胱术开展治疗,能够在保证患者新膀胱功能、肿瘤根治率的基础上,减少术中出血量、术后恢复时间、并发症的发生率,值得在临床应用中推广。
Objective： To compare the therapeutic effect of laparoscopic and open orthotopic bladder cancer in bladder cancer. Methods： 60 patients with bladder cancer were randomly selected in our hospital from January 2013 to February2016 were patients,randomly divided into two groups,respectively as control group and observation group,control group patients with open type orthotopic neobladder to carry out treatment,observation group were treated with laparoscopic orthotopic ileal neobladder to carry out treatment. Comparative analysis of the clinical therapeutic effect of two groups of patients. Results： Two groups of patients with pelvic lymph node dissection after operation,positive rate,residual urine volume,bladder pressure,bladder capacity difference does not have statistical significance,but the patients in the observation group after the maximum urine flow rate,nocturnal continence rate,daytime continence rate significantly higher than the control group,the difference was statistically significant; the observation group of patients with postoperative defecation time,recovery time,intraoperative bleeding volume was less than the control group,and the difference was statistically significant. Conclusion： For patients with bladder cancer in the treatment process,the application of laparoscopic orthotopic ileal neobladder to carry out treatment,can guarantee the basic function,patients with bladder tumor resection rate,reduce intraoperative bleeding volume,postoperative recovery time,the incidence of complications,worthy of promotion in clinical application.
作者
代昌远
李庆文
DAI Chang-yuan LI Qing-wen(The First Affiliated Hospital of Bengbu Medical College, Bengbu 233030, Chin)
出处
《泰山医学院学报》
CAS
2016年第12期1349-1351,共3页
Journal of Taishan Medical College
