Bjerre B D, Johansen C, Steven K
Department of Urology, Herlev Hospital, University of Copenhagen, Denmark.
Scand J Urol Nephrol Suppl. 1994;157:113-8.
A questionnaire study was carried out to compare the health-related quality of life after continent urinary diversion using a Kock pouch with that following ileal conduit diversion. 76 patients completed the questionnaire: 26 patients had a continent and 50 an ileal conduit diversion, median follow-up was 0.9 year (range 0.5-4.4) and 4.9 years (range 2.4-14.7), respectively. The type of operation carried significant relation to the presence of leakage distress associated with urine leakage; 78% among conduit patients versus 50% among continent diversion patients experienced distress. Physical contact between patient and partner was reduced significantly less following continent diversion: 16% against 43% among patients with conduit diversion. Global satisfaction with life was high and similar in the two groups. Continent urinary diversion appears to be superior to conventional ileal conduit diversion.
开展了一项问卷调查研究，以比较使用科克贮尿囊进行可控性尿流改道后与回肠导管改道后的健康相关生活质量。76名患者完成了问卷调查：26名患者进行了可控性尿流改道，50名患者进行了回肠导管改道，中位随访时间分别为0.9年（范围0.5 - 4.4年）和4.9年（范围2.4 - 14.7年）。手术类型与尿漏相关的漏尿困扰存在显著关联；回肠导管改道患者中有78%经历困扰，而可控性尿流改道患者中这一比例为50%。可控性尿流改道后患者与伴侣之间的身体接触减少程度显著更低：回肠导管改道患者中这一比例为43%，而可控性尿流改道患者中为16%。两组患者对生活的总体满意度都很高且相似。可控性尿流改道似乎优于传统的回肠导管改道。
