21例行膀胱全切原位回肠代膀胱术患者围术期的护理

目的总结行膀胱全切原位回肠代膀胱术治疗膀胱癌患者的围手术期护理经验。方法术前做好心理、肠道护理及患者准备;术后加强引流管护理、新膀胱冲洗护理及新膀胱功能的训练。结果 21例患者术后未发生感染、尿瘘、吻合口瘘等并发症,随访3～6个月,20例患者均能自主控尿,1例患者有轻度尿失禁。结论膀胱全切原位回肠代膀胱术创伤较大、并发症较多,做好围手术期护理对保证手术成功具有重要意义

Perioperative nursing of 21 patients undergoing radical cystectomy with ileal neobladder

Objective To summarize the perioperative nursing of undergoing radical cystectomy with ileal neobladder for the treatment of bladder cancer.Method The nursing measures included preoperative psychological care,bowel and body preparation as well as postoperative nursing of drainage tube,ileal bladder irrigation,bladder functional exercise and basic nursing care.Results No patients suffered from postoperative complications such as infections,urinary fistula and anastomotic leakage.Twenty patients recovered autonomous urination within 3-6 months after the operation.One patient got minor urinal incontinence.Conclusions Cystectomy with orthotopic ileal neobladder trauma contributes to more complications due to large surgical trauma.Therefore,good perioperative care is important for the successful operations.