[Long-term results and quality of life of hemi-Kock orthotopic ileal neobladder after radical cystectomy].
[Long-term results and quality of life of hemi-Kock orthotopic ileal neobladder after radical cystectomy].
复制标题
[半Kock原位回肠新膀胱根治性膀胱切除术后的长期结果和生活质量]。
DOI：
--
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
S. Ohshima
中科院分区：
文献类型：
--
作者：
T. Furukawa;R. Hattori;T. Kinukawa;N. Takeuchi;M. Sahashi;S. Yamada;O. Matsuura;N. Katoh;Y. Ono;S. Ohshima
我们分析了使用科克回肠新膀胱进行原位下尿路重建的患者的长期结果和生活质量。自1990年7月至1993年10月，连续37例根治性膀胱切除术后接受原位半Kock新膀胱术，其中2例为女性。对患者的泌尿系疾病、并发症及尿道复发情况进行分析，并进行邮寄问卷调查。术后4年，71%的患者获得了良好的全天活动能力。需要再次手术的贮袋相关并发症发生率为27%。无尿道复发。与术前相比，42%的患者排尿不满意。在这些不满意的患者中，需要在白天使用护垫，残余尿的感觉和微弱的尿流明显比满意的患者更频繁。总之，并发症发生率高于其他方法。然而，科克原位回肠新膀胱术是一种长期稳定的手术，可提供良好的功能。
We analyzed the long-term results and the quality of life in patients who received orthotopic lower urinary tract reconstruction using the Kock ileal neobladder. Between July 1990 and October 1993, 37 consecutive patients including 2 females received orthotopic hemi-Kock neobladder after radical cystectomy. In these patients, we analyzed the urinary continence, complications and urethral recurrence, and performed a questionnaire survey by mail. Good continence all day had been achieved in 71% of the patients 4 years after surgery. The rate of the pouch-related complications requiring reoperation was 27%. There was no urethral recurrence. Compared with preoperative conditions, 42% were not satisfied with urination. In these dissatisfied patients, the need to use pads in the daytime, sensation of residual urine and weak urine stream were significantly more frequent than in satisfied patients. In summary, the rate of complications was higher than that of other methods. However, the Kock orthotopic ileal neobladder is a stable procedure providing good function over the long-term.