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目的探讨术前造口定位对膀胱癌尿流改道腹壁造口患者生活质量的影响。方法选择拟行尿流改道腹壁造口的膀胱癌患者28例,随机分为观察组和对照组各14例,观察组实施术前定位,对照组实施术中定位,对比观察二组躯体、心理、社会功能等方面的生活质量情况。结果腹壁造口对于膀胱癌患者均带来或多或少的影响,其中观察组中无一例重度影响,对生活质量的影响程度明显低于对照组(P<0.05)。结论对膀胱癌尿流改道腹壁造口患者实施术前造口定位,有利于患者生理、社会心理等各方面的恢复,从而提升患者术后的生活质量,值得推广。
Objective To investigate the effect of preoperative ostomy on the quality of life of patients with bladder cancer undergoing urinary diversion and abdominal wall ostomy. Methods Twenty-eight bladder cancer patients undergoing urinary diversion and abdominal wallostomy were randomly divided into observation group (14 cases) and control group (14 cases). The observation group received preoperative localization and the control group received intraoperative localization. The comparison of body and mind , Social functions and other aspects of quality of life. Results Abdominal stoma was more or less affected in patients with bladder cancer. Among them, none of the patients in the observation group had a severe influence on the quality of life, which was significantly lower than that in the control group (P <0.05). Conclusions The preoperative stoma localization of urinary diversion in patients with bladder cancer and stoma is beneficial to the recovery of patients’ physiology, social psychology and other aspects so as to enhance the postoperative quality of life of patients and is worthy of popularization.