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原位回肠新膀胱术与回肠膀胱术比较
引用本文:庄伟,李毅宁,刘为安,陈家璧,苏学峰. 原位回肠新膀胱术与回肠膀胱术比较[J]. 河北医学, 2009, 15(8): 931-934
作者姓名:庄伟  李毅宁  刘为安  陈家璧  苏学峰
作者单位:福建医科大学附属第二医院泌尿外科,福建,泉州,362000;福建医科大学附属第二医院泌尿外科,福建,泉州,362000;福建医科大学附属第二医院泌尿外科,福建,泉州,362000;福建医科大学附属第二医院泌尿外科,福建,泉州,362000;福建医科大学附属第二医院泌尿外科,福建,泉州,362000
摘    要:目的:比较原位回肠新膀胱术和回肠膀胱术的临床疗效。方法:选择我科2002年至2007年行根治性膀胱切除术治疗膀胱尿路上皮细胞癌68例的患者资料,比较两组术中术后一般情况、近远期并发症、肿瘤复发情况。结果:两种术式仅手术时间(5.41±0.99h VS 4.51±1.28h)、住院时间(34.50±8.87d VS 21.24±8.99d)、术后尿瘘(37%VS 12%)等方面差异有统计学意义(P〈0.05)。结论:原位回肠新膀胱术较回肠膀胱术虽早期并发症较多,但在根治性膀胱切除术中仍值得优先采用。

关 键 词:原位回肠新膀胱术  回肠膀胱术  比较

The Comparison Between Orthotopic Neobladder And Bricker Operation
Affiliation:ZHUANG Wei, LI Yi-ning, LIU Wei-an, et al ( The Second Affiliated Hospital of Fujian Medical University, Fujian Quanzhou 362000, China )
Abstract:Objective: To compare the clinical curative effect between orthotopic neobladder and bricker operation. Method: From 2002 to 2007,68 examples of radical eystectomy were used to cure bladder uroepithelium cancer, then studied the generral conditions, close and long - term complications and tumor recurrence between orthotopic neobladder and bricker operation. Result: Only the time of operation,length of stay and urinary fistula between two groups with significance difference ( P 〈 0.05 ). Conclusion: Maybe orthotopic neobladder's early complication is more,it is a predominant technique for the treatment of bladder uroepithelium cancer.
Keywords:Orthotopic neobladder  Bricker operation  Comparison
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