膀胱癌腹腔镜回肠原位新膀胱手术对患者回肠膀胱尿流动力学的影响及感染情况分析

【】目的：探讨膀胱癌腹腔镜回肠原位新膀胱手术对患者肠膀胱尿流动力学和术后感染的影响。方法：选取2012年3月至2014年3月医院收治的膀胱癌患者78例作为研究样本,所有患者均接受膀胱根治术,按照尿路重建方式将其分为观察组59例与对照组19例,其中观察组采用腹腔镜回肠原位新膀胱手术,对照组采用开放回肠原位新膀胱手术。手术后对患者进行为期9个月的随访,分别于手术后3月、6月、9月对患者肠膀胱尿流动力学进行测定,包括最大膀胱容量、残余尿量和尿流率,同时随访中统计患者术后感染率。结果：对照组与观察组患者在最大膀胱容量、残余尿量统计中两组均无统计学意义(P＞0.05)；对照组患者在手术后3月,尿流率为(12.7±2.5)ml/s,对照组患者为(13.9±2.2)ml/s,两者之间无明显差异,但是对照组在手术6月和9月后的尿流率分别为(13.6±2.1)ml/s、(14.5±3.5)ml/s,而观察组6月和9月后的尿流率分别为(16.8±2.4)ml/s、(19.8±3.1)ml/s,两组相比具有统计学意义(P＜0.05)；随访中对照组感染人数为6例,感染率为31.58%；观察组感染人数为5人,感染率为8.47%,两组感染率差异具有统计学意义(x2=4.57,P＜0.05)。结论：腹腔镜膀胱癌回肠原位新膀胱手术可以减少患者由于手术造成的损伤,加快伤口愈合,提高患者肠膀胱尿流量并减少远期并发症的发生。

Laparoscopic ilea orthotropic bladder cancer Bladder surgery on patients with aerodynamic effects of intestinal and bladder infection analysis

Abstract] Objective: To investigate the kinetics and laparoscopic bladder infection after orthotropic ilea snowblader impact of surgery on patients with intestinal urinary bladder. Methods: March 2012 to March 2014 the hospital treated 78 patients with bladder cancer as the research sample, all patients were treated with radical surgery of the bladder, urinary tract reconstruction in accordance with the observation group, 59 cases were divided into a control group of 19 patients with , where the observation group ilea orthotropic snowblader using laparoscopic surgery, the control group with open ilea orthotropic snowblader surgery. After surgery patients were followed up for a period of nine months, respectively, after surgery in March, June, September aerodynamic bladder in patients with intestinal measured, including maximum bladder capacity, residual urine volume and urinary flow rate, and follow-up Statistics postoperative infection. Results: The patients in the control group and the maximum bladder capacity, residual urine volume statistics in the two groups was not statistically significant (P> 0.05); the control group of patients within 3 months after surgery, urinary flow rate (12.7 ± 2.5) ml / s, the control group patients (13.9 ± 2.2) ml / s, no significant difference between the two, but the control group during surgery urine flow in June and September respectively after (13.6 ± 2.1) ml / s, (14.5 ± 3.5) ml / s, while the observation group in June and September, respectively, after the flow of urine (16.8 ± 2.4) ml / s, (19.8 ± 3.1) ml / s, the two groups was statistically significant (P compared to <0.05); follow-infected persons in the control group was 6 cases, the infection rate was 31.58%; number of infections observed group of 5 people, the infection rate was 8.47%, a statistically significant difference between the two groups infection (x2 = 4.57, P <0.05 ). Conclusions: Laparoscopic ilea orthotropic snowblader bladder cancer surgery can reduce the damage caused due to surgery patients, accelerate wound healing, improve urinary flow in patients with irritable bladder and reduce the incidence of long-term complications.