Gotsadze D T, Pirtskhalaishvili G G
Vopr Onkol. 1992;38(4):489-93.
Quality of life was assessed in 60 cystectomized patients with bladder cancer versus method of urine derivation. Surgery had been ended with formation of "wet" stoma in 39 cases (ureterocutaneostomy--in 30 patients and operation after Bricker--in 9) whereas in 21 cases "dry" stoma had been formed with derivation of the urine into large bowel reservoir assuring controlled voiding. Only as few as 9 (23.1%) "wet" stoma patients retained the pretreatment activity as compared to 100% of those in the other treatment group. One-third of the "wet" stoma patients were unsatisfied with functional results of surgery and preferred formation of the reservoir which assured controlled voiding and allowed freedom from urinal.
对60例膀胱癌膀胱切除患者的生活质量与尿液引流方法进行了评估。39例手术以形成“湿”造口结束(30例为输尿管皮肤造口术,9例为Bricker术后),而21例形成了“干”造口,尿液引流至大肠储尿囊以确保可控排尿。与另一治疗组100%的患者相比,只有9例(23.1%)“湿”造口患者保留了术前的活动能力。三分之一的“湿”造口患者对手术的功能结果不满意,更倾向于形成能确保可控排尿且无需使用尿壶的储尿囊。