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目的探讨膀胱全切原位W形回肠新膀胱术治疗膀胱癌的临床疗效。方法 42例膀胱癌患者,随机分为观察组与对照组,各21例。对照组应用膀胱全切原位结肠新膀胱术,观察组为膀胱全切原位W形回肠新膀胱术,对比两组临床疗效。结果对照组并发症发生率为57.1%高于观察组28.6%,差异有统计学意义(P<0.05);对照组术后21 d白天控尿恢复率为71.4%低于观察组95.2%,差异有统计学意义(P<0.05)。结论膀胱全切原位W形回肠新膀胱术治疗膀胱癌疗效确切,并发症少,安全可靠且控尿恢复时间短,值得推广。
Objective To investigate the clinical curative effect of bladder total in situ W-shaped ileal neo-bladder surgery for bladder cancer. Methods 42 cases of bladder cancer were randomly divided into observation group and control group, 21 cases each. In the control group, bladder allograft neo-bladder surgery was performed. The observation group was totally resected in-situ W-shaped ileal neo-bladder surgery. The clinical curative effect was compared between the two groups. Results The incidence of complications in the control group was 57.1%, which was significantly higher than that in the observation group (28.6%, P <0.05). In the control group, the daytime control rate was 71.4% on day 21 postoperatively, which was lower than 95.2% There was statistical significance (P <0.05). Conclusions Bladder resection in situ W-shaped ileal neo-bladder surgery is effective in treating bladder cancer with fewer complications, safe and reliable, and short recovery time. It is worth popularizing.