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《膀胱全切回腸膀胱術(shù)和新膀胱術(shù)護(hù)理側(cè)重點(diǎn)比較》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、膀胱全切回腸膀胱術(shù)和新膀胱術(shù)護(hù)理側(cè)重點(diǎn)比較摘要目的：探討和研究全膀胱切除回腸膀胱術(shù)與全膀胱切除回腸原位新膀胱術(shù)后護(hù)理側(cè)重點(diǎn)不同的比較，使護(hù)理人員給患者提供更專(zhuān)業(yè)優(yōu)質(zhì)的服務(wù)為目的，從而降低了并發(fā)癥的發(fā)生率，提高患者生活質(zhì)量。方法：對(duì)30例行全膀胱切除回腸膀胱術(shù)患者和23例全膀胱切除回腸原位新膀胱術(shù)患者的臨床資料進(jìn)行了回顧性分析。總結(jié)并討論了術(shù)后護(hù)理側(cè)重點(diǎn)不同，并作比較。結(jié)果：全膀胱切除回腸膀胱術(shù)30例全部治愈。2例出現(xiàn)發(fā)熱，發(fā)熱幾天后經(jīng)抗生素治療得到控制，后治愈。全膀胱切除回腸原位新膀胱術(shù)23例全部治愈。患者術(shù)后有不同程度的尿失禁。經(jīng)新膀胱功能鍛
2、煉后能自行解尿。結(jié)論：回腸膀胱引流管、回腸膀胱造瘻口、左右輸尿管支架、胃管、盆腔引流管等各種導(dǎo)管護(hù)理是全膀胱切除回腸膀胱術(shù)后護(hù)理的側(cè)重點(diǎn)。而全膀胱切除回腸原位新膀胱術(shù)是膀胱腫瘤患者樂(lè)于選擇的術(shù)式，術(shù)后護(hù)理的關(guān)鍵是尿管的護(hù)理以及新膀胱功能的鍛煉。關(guān)鍵詞全膀胱切除回腸膀胱術(shù)全膀胱切除回腸原位新膀胱術(shù)術(shù)式及效果導(dǎo)管護(hù)理新膀胱功能鍛煉AbstractObjective:ToexplorethenursingdifferenceofRadicalcystectomyandBrickeroperationandradicalcystectomyandile
3、alneobladder.Toprovideamoreprofessionalmedicaltreatmentforpatientsandreducetheincidenceofcomplicationsandimprovepatientsqualityoflife.Methods:Aretrospectiveanalysisof23patientsclinicaldataofradicalcystectomyandBrickeroperationand30patientsclinicaldataofradicalcystectomyandil
4、ealneobladder,wesummarizeanddiscussdifferentpostoperativenursingemphasisandtocompareit.Results：30casesofradicalcystectomyandBrickeroperationwereallcured.2caseswithfeverarecuredafterantibiotictreatment.23casesofradicalcystectomyandilealneobladderwereallcured.Postoperativepati
5、entshaddifferentdegreesofincontinence.Thenewbladdercanurinateafterfunctionexercise.Conclusion:ThepostoperativenursingemphasisofRadicalcystectomyandBrickeroperationwascathetercare，leftandrightureteralstent,ilealbladderdrainagetube,ilealbladderstoma,pelvicdrainagetubeandstomac
6、htubeetc.Radicalcystectomyandilealneobladderisanoperationbythebladdertumorpatientswelcome,nursingcatheterafteroperationandthenewbladderfunctionexerciseisthekeytooperationnursing.Itcanprovidebetterqualityofserviceandreducethecomplicationsandimprovethequalityoflife，soitisneces
7、sarytostudythedifferentpointsofnursing.KeywordsRadicalcystectomyandBrickeroperation；Radicalcystectomyandilealneobladder；Theoperativemethodandeffect；Cathetercare；Thenewbladderfunctiontraining膀胱癌作為泌尿系最常見(jiàn)的腫瘤，可以在各層膀胱組織中存在。肌層浸潤(rùn)性膀胱癌的標(biāo)準(zhǔn)治療方式是尿流改道術(shù)及根治性膀胱切除，治療尿流改道的兩種標(biāo)準(zhǔn)手術(shù)方式包括全膀胱切除回腸膀胱術(shù)
8、和全膀胱切除回腸原位新膀胱術(shù)。近年來(lái)，以更小創(chuàng)傷、更快恢復(fù)、更佳美容效果為目的。全膀胱切除回腸原位新膀胱術(shù)在臨床上逐漸得到應(yīng)用，這是一種接近理想的原位
