根治性膀胱切除术的发病率和死亡率（1971 - 1978年及1978 - 1985年）
Morbidity and mortality of radical cystectomy (1971-78 and 1978-85).
作者信息
Hendry W F
出版信息
J R Soc Med. 1986 Jul;79(7):395-400. doi: 10.1177/014107688607900706.
Abstract
The mortality after radical cystectomy with urinary diversion has been reduced from 11% in 53 patients operated on during 1971-78, to 2.5% in a similar group of 120 patients operated on during 1978-85. Amongst the latter, mortality varied from 0 amongst 32 non-irradiated patients, to 1 (3%) of 33 after planned preoperative radiotherapy and 2 (3.6%) of 55 after previous radical radiotherapy. The improvement in results appears to be due to a number of factors including routine intensive care in the early postoperative phase, with epidural analgesia, and meticulous attention to haemostasis and the technical details of construction of the ileal conduit.
摘要
根治性膀胱切除术后行尿流改道术的死亡率已从1971 - 1978年接受手术的53例患者中的11%，降至1978 - 1985年接受手术的120例类似患者中的2.5%。在后者中，死亡率各不相同，32例未接受放疗的患者中死亡率为0，33例接受术前计划性放疗的患者中有1例（3%）死亡，55例先前接受过根治性放疗的患者中有2例（3.6%）死亡。结果的改善似乎归因于多种因素，包括术后早期常规重症监护、硬膜外镇痛、对止血的精心关注以及回肠导管构建的技术细节。
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