论著 Original Article

功能训练对根治性膀胱全切后原位乙状结肠代膀胱患者的效果

Published at: 2017年第37卷第8期

阎璐 1
1 中国医科大学盛京医院第一泌尿外科,沈阳 110004
通讯作者 璐 阎 Email: yanlulnsj@163.com
DOI: 10.3978/j.issn.2095-6959.2017.08.021
基金:

摘要

目的:对根治性的膀胱全切除原位乙状结肠代膀胱患者采取系统性膀胱功能训练的临床效果和尿流动力学进行分析。方法:分析中国医科大学盛京医院2014年5月至2016年5月收治的根治性膀胱全切除原位乙状结肠代膀胱80例患者的资料,根据临床训练方法分成两组,将采取普通膀胱功能训练40例患者设为对照组,将采取系统性膀胱功能训练的40例患者设为观察组,比较两组的临床效果和尿流动力学特征。结果:观察组术后9个月残尿量、膀胱容量和最大尿流率等尿流动力学指标均优于对照组,且术后膀胱输尿管吻合口狭窄、夜间尿失禁、输尿管返流等总并发症发生率(2.50%)低于对照组(25.00%),差异均有统计学意义(P<0.05);观察组总体健康评分(83.40±14.30)高于对照组(65.33±13.10),差异有统计学意义(P<0.05)。结论:对根治性的膀胱全切除原位乙状结肠代膀胱患者采取系统性膀胱功能训练能够改善尿流动力学指标,减少术后并发症且提高生活质量。


Effect of functional training on patients with bladder replacement after radical cystectomy

Abstract

Objective: To analyze the clinical effect and the urodynamics of systemic bladder function training for patients after radical cystectomy of in situ sigmoid orthotopic neobladder. Methods: The clinical data of 80 patients who had undergone radical cystectomy of in situ sigmoid orthotopic neobladder in our hospital between May 2014 and May 2016 were analyzed. According to the different clinical training methods applied, these patients were assigned into two groups: the 40 cases treated with general bladder function training were taken as a control group, whereas the other 40 cases given systemic bladder function training as an observation group. The clinical effect and urinary dynamics in the two groups were compared. Results: In terms of urodynamic indexes, the residual urine volume, bladder capacity and maximum urine flow rate 9 months after the surgery were respectively better than that in the observation group, the difference was statistically significant (P<0.05); the incidence of complications (2.50%) after operation, including anastomotic stenosis of bladder ureter, uroclepsia during sleep and vesicoureteral reflux, in the observation group were lower than that (20.00%) in the control group, the difference was statistically significant (P<0.05); general health score (83.40±14.30) in the observation group were higher than that in the control group (65.33±13.10), the difference was statistically significant (P<0.05). Conclusion: For patients who had undergone radical cystectomy of in situ sigmoid orthotopic neobladder, systemic bladder function training can improve the urodynamics indexes, reduce postoperative complications and improve their quality of life.


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引用

引用本文: 璐 阎. 功能训练对根治性膀胱全切后原位乙状结肠代膀胱患者的效果[J]. 临床与病理杂志, 2017, 37(8): 1665-1669.
Cite this article as: YAN Lu . Effect of functional training on patients with bladder replacement after radical cystectomy[J]. Journal of Clinical and Pathological Research, 2017, 37(8): 1665-1669.