干旱区生态环境知识资源中心(Arid): 回肠膀胱术后近期再手术原因分析(附12例报告)

Arid

	回肠膀胱术后近期再手术原因分析(附12例报告)
其他题名	Causal analysis of re-operation for radical cysectomy and ileal conduit in early follow-up
	陶然 1; 周利群 2; 肖云翔 2; 王刚 2; 冉金生 1; 臧美孚 3; 潘柏年 2
来源期刊	中华泌尿外科杂志
ISSN	1000-6702
出版年	2004
卷号	25 期号:4 页码:255-256
中文摘要	目的探讨全膀胱切除回肠膀胱术后近期再手术的原因. 方法回顾性分析81例膀胱肿瘤行膀胱全切回肠膀胱术中12例近期再手术患者的临床资料.12例均为男性,平均年龄70岁.膀胱移行细胞癌T2 4例,T3 8例;G2 7例,G3 5例.术后发生粘连性肠梗阻4例,回肠膀胱坏死2例,乙状结肠前列腺窝嵌入打折2例,内疝2例,伤口感染不愈合裂开2例. 结果 12例患者术后7～32 d,平均13 d内分别行肠管粘连松解术、回肠膀胱重建术、坏死肠管切除术及伤口清创术.术后随访6～12个月,平均7.7个月,患者均恢复良好,未出现其他并发症. 结论回肠膀胱术后易发生粘连肠梗阻、回肠膀胱坏死及内疝等并发症,完备的围手术期处理、及时妥善的再手术可提高手术效果和患者的生活质量.
英文摘要	Objective To analyze the cause of re-operation after radical cystectomy and ileal conduit in early follow-up period in order to improve the efficacy of this operation and reduce postoperative complications. Methods 12 cases from 81 cases of re-operation were studied retrospectively after radical cystectomy and ileal conduit for bladder tumor in early follow-up period. Of the 12 cases, there are 4 cases of T4, 8 cases of T3 ,7 cases of G2 ,5 oases of G3. They are all transitional cell carcinoma. Results There were 4 cases of adhesive intestinal obstruction,2 necrosis of ileal conduit,2 adhesive folding of sigmoid colon into prostatic fossa,2 internal hernia and 2 avulsed incision due to infection . All the cases were re-operated nearly the first operation. After the second operation, all the cases were followed 6-12 months, average 7. 7 months,the outcome was satisfied. Conclusions The ileal conduit is a kind of ideal methods for urinary diversion and its early complications should be avoided affecting the efficacy of this operation and the quality of life patients.
中文关键词	膀胱肿瘤 ; 全膀胱切除 ; 并发症
英文关键词	bladder neoplasms radical cystectomy complication
语种	中文
国家	中国
收录类别	CSCD
WOS类目	ONCOLOGY
WOS研究方向	Oncology
CSCD记录号	CSCD:1597683
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205829
作者单位	1.北京潞河医院泌尿外科, 101149; 2.北京大学第一医院北京大学泌尿外科研究所; 3.北京协和医院泌尿外科
推荐引用方式 GB/T 7714	陶然,周利群,肖云翔,等. 回肠膀胱术后近期再手术原因分析(附12例报告)[J],2004,25(4):255-256.
APA	陶然.,周利群.,肖云翔.,王刚.,冉金生.,...&潘柏年.(2004).回肠膀胱术后近期再手术原因分析(附12例报告).中华泌尿外科杂志,25(4),255-256.
MLA	陶然,et al."回肠膀胱术后近期再手术原因分析(附12例报告)".中华泌尿外科杂志 25.4(2004):255-256.