全膀胱切除胃代膀胱手术的护理配合

目的 总结全膀胱切除胃代膀胱术治疗膀胱癌患者的手术配合与护理经验。方法 通过术前访视和宣教，熟悉手术步骤，制定周密的手术护理计划，术中强调无菌技术及主动配合，对27例多发和复发性膀胱癌患者施行全膀胱切除、原位楔形胃代膀胱术。结果 所有患者手术经过顺利，术中病情平稳，术后恢复良好。结论 高质量的手术配合是顺利完成这一新的大型复杂手术的一个重要保证，不仅可以缩短手术时间，同时能减少术中、术后并发症。

Nursing care of the stomach for bladder replacement following total cystectomy

Objective To analyze the operative cooperation and nursing care experience of bladder cancer patients treated with the stomach for bladder replacement following total cystectomy. Methods By giving care and teaching patients , studying operation procedures, designing a proper plan of nursing care, and emphasizing the sterile skills and active operation cooperation during operation, 27 patients with multiple or relapsed bladder cancer were treated with the orthotopic segment of stomach for bladder replacement following total cystectomy. Results All patients with bladder cancer were smooth and safe during operation and recovered rapidly after the operations. Conclusion High quality nursing care plays a important role to complete this new and complicated operation successfully, not only shortens operation time, but also decreases complications during and after the operations.