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目的探讨传统输尿管皮肤造口术及其改良术式对浸润性膀胱癌根治术后生活质量的影响。方法以2005年8月~2015年12月我院收治的80例浸润性膀胱癌患者为研究对象,依据入院顺序将其均分为研究组及对照组各40例,对照组实施传统输尿管皮肤造口术,研究组另实施改良输尿管皮肤造口术,比较两组生活质量(HRQOL)及术后并发症比较。结果术前两组HRQOL评分相较无明显差异(P>0.05);术后1个月、3个月、5个月两组HRQOL评分均较术前明显升高,且研究组升高幅度较对照组明显,有统计学意义(P<0.05);研究组术后并发症总发生率明显低于对照组(P<0.05)。结论改良输尿管皮肤造口术在减小浸润性膀胱癌根治术患者并发症及提高患者生活质量方面较传统术式有明显的优势。
Objective To investigate the effect of traditional ureteral skin ostomy and its modified surgical procedures on the quality of life after radical surgery of invasive bladder cancer. Methods Eighty patients with invasive bladder cancer treated in our hospital from August 2005 to December 2015 were enrolled in this study. All patients were divided into study group (40 cases) and control group (40 cases) according to the sequence of admission. The control group Oral surgery, the study group implemented another ureterocutaneous ostomy, quality of life (HRQOL) and postoperative complications were compared. Results There was no significant difference in HRQOL scores between the two groups before surgery (P> 0.05). The HRQOL scores at 1 month, 3 months and 5 months after operation were significantly higher than those before operation The control group was significantly and statistically significant (P <0.05). The overall incidence of postoperative complications in the study group was significantly lower than that in the control group (P <0.05). Conclusion Modified ureteral skin ostomy has obvious advantages over traditional surgical procedures in reducing the complication of patients with invasive bladder cancer and improving the quality of life of patients.