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目的比较女性患者腹腔镜原位回肠新膀胱术与开放原位回肠新膀胱术后的尿流动力学改变,评价女性腹腔镜下原位回肠新膀胱术的临床疗效。方法选取女性患者,全部由同一术者开展腹腔镜下原位回肠新膀胱术8例,开放性原位回肠新膀胱16例,比较其术后排尿情况及尿流动力学参数。结果 24例原位回肠新膀胱患者大部分能自主控制排尿,比较腹腔镜原位回肠新膀胱术与开放原位回肠新膀胱术术后尿流动力学各参数差异无明显统计学意义。结论女性患者腹腔镜下膀胱根治性切除原位回肠新膀胱术较传统开放性手术术后排尿功能无明显差异,可以替代传统开放性手术。
Objective To compare the urodynamic changes after laparoscopic ileocecal neo-bladder surgery and open ileal neo-bladder surgery in female patients and to evaluate the clinical efficacy of laparoscopic ileal neo-bladder surgery. Methods Female patients were selected. All patients underwent laparoscopic neo-bladder laparoscopy in 8 cases and open ileum neo-bladder in 16 cases. The urination and urodynamic parameters were compared between the two groups. Results Most of the 24 patients with ileal neo-bladder could independently control urination. There was no significant difference in urodynamic parameters between laparoscopic ileocecal neo-bladder surgery and open ileal neo-bladder surgery. Conclusions Laparoscopic radical cystectomy of bladder in situ in patients with idiopathic ileal neo-bladder surgery has no significant difference from the traditional open surgery. It can replace traditional open surgery.