改良式Bricker回肠膀胱术与经典式Bricker回肠膀胱术并发症的比较

目的 比较分析改良式Bricker回肠膀胱术与经典式Bricker回肠膀胱术并发症的发病情况。方法 回顾总结46例改良式Bricker回肠膀胱术和52例经典式Bricker回肠膀胱术，应用Clavien-Dindo并发症分级系统进行分析。结果 改良式Bricker回肠膀胱术组并发症发生率为34.8%（16/46），经典式Bricker回肠膀胱术并发症发生率为67.3%（35/52），改良式Bricker回肠膀胱术组并发症发生率明显降低，且重度并发症发生率较低（30 d, 4.3% vs. 15.4%；90 d, 6.5% vs. 17.3%）。结论 Clavien-Dindo并发症分级系统可作为根治性膀胱切除术尿流改道术后并发症的分析研究，改良式Bricker回肠膀胱术较经典Bricker回肠膀胱术可有效降低术后并发症，患者术后生活质量更高。

A Comparison of Complications between a Modified Bricker Urinary Diversion and#br# Classic Bricker Urinary Diversion

Objective To compare and analysis the differences between a modifi ed Bricker urinary diversionand classic Bricker urinary diversion. Methods Clinical data of 46 cases modifi ed Bricker urinary diversionand 52 cases classic Bricker urinary diversion were summarized and analyzed respectively. Complicationswere noted and graded according to the Clavien-Dindo grading system. Results 34.8%（16/46）cases withmodifi ed Bricker urinary occurred complications, 67.3%（35/52）cases with classic Bricker urinary diversionoccurred complications. Patients received modifi ed Bricker urinary diversion had better outcome than patientsreceived classic Bricker urinary diversion (30d, 15.4% vs. 4.3%; 90d, 17.3% vs. 6.5%). Conclusion Ourresults supported the importance and applicability of the Clavien-Dindo grading system could be utilized inthe study of complications after urinary diversion, the life quality of modifi ed Bricker urinary diversion ismuch more satisfactory.