UROLOGY:膀胱癌根治性膀胱切除术后的瘘管并发症研究

2018-02-27 MedSci MedSci原创

在根治性膀胱切除术后,瘘管形成是一种少见的并发症。研究人员试图确定那些出现过此并发症的患者,分析瘘管形成的风险因素以及管理结果。

在根治性膀胱切除术后,瘘管形成是一种少见的并发症。研究人员试图确定那些出现过此并发症的患者,分析瘘管形成的风险因素以及管理结果。

研究人员回顾性地分析了在接受根治性膀胱切除术治疗膀胱癌患者的记录。发现有瘘管的患者,分析风险因素、管理策略和结果。一部分患者最初接受了保守治疗,而另外一部分患者接受了手术治疗。采用单变量和多变量分析来确定瘘管形成的预测因素以及手术修复的需要。

在1041例患者中,有31例(3.0%)有瘘管形成。瘘管造影的中位时间为31天。在54.8%的患者中,肠瘘是最常见的瘘管类型,其次是经皮和导流皮治疗,分别为29.0%12.9%。在多变量分析中,放射治疗的历史(p = 0.03)和正位性新膀胱(p = 0.04)是瘘管形成的预测因子。保守的管理在41.9%的案例中取得了成功。没有失败的保守管理的预测者。需要手术修复的患者在一期手术修复中达到94.4%。

结论
瘘管的并发症在根治性膀胱切除术后很少见,在泌尿道和小肠之间最常见。放射治疗和原位新膀胱的历史是形成的危险因素。

原始出处:

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    2018-04-21 丁鹏鹏
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  5. [GetPortalCommentsPageByObjectIdResponse(id=1876998, encodeId=576318e69986d, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Tue Oct 23 15:01:00 CST 2018, time=2018-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973291, encodeId=703219e3291a1, content=<a href='/topic/show?id=75a16223199' target=_blank style='color:#2F92EE;'>#根治性膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62231, encryptionId=75a16223199, topicName=根治性膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Tue May 22 17:01:00 CST 2018, time=2018-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1757950, encodeId=327e1e57950fe, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Apr 21 16:01:00 CST 2018, time=2018-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493833, encodeId=85c8149383322, content=<a href='/topic/show?id=238d85e749c' target=_blank style='color:#2F92EE;'>#膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85774, encryptionId=238d85e749c, topicName=膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e77d9117128, createdName=tonychen24, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586097, encodeId=04e3158609eac, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291747, encodeId=9fab291e47c2, content=疝并发的可能性有没有, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Wed Feb 28 17:13:44 CST 2018, time=2018-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291393, encodeId=6213291393ce, content=瘘管的并发症的影响.学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Tue Feb 27 11:27:23 CST 2018, time=2018-02-27, status=1, ipAttribution=)]
    2018-03-01 jeanqiuqiu
  6. [GetPortalCommentsPageByObjectIdResponse(id=1876998, encodeId=576318e69986d, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Tue Oct 23 15:01:00 CST 2018, time=2018-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973291, encodeId=703219e3291a1, content=<a href='/topic/show?id=75a16223199' target=_blank style='color:#2F92EE;'>#根治性膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62231, encryptionId=75a16223199, topicName=根治性膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Tue May 22 17:01:00 CST 2018, time=2018-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1757950, encodeId=327e1e57950fe, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Apr 21 16:01:00 CST 2018, time=2018-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493833, encodeId=85c8149383322, content=<a href='/topic/show?id=238d85e749c' target=_blank style='color:#2F92EE;'>#膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85774, encryptionId=238d85e749c, topicName=膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e77d9117128, createdName=tonychen24, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586097, encodeId=04e3158609eac, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291747, encodeId=9fab291e47c2, content=疝并发的可能性有没有, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Wed Feb 28 17:13:44 CST 2018, time=2018-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291393, encodeId=6213291393ce, content=瘘管的并发症的影响.学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Tue Feb 27 11:27:23 CST 2018, time=2018-02-27, status=1, ipAttribution=)]
    2018-02-28 梦想起航ing

    疝并发的可能性有没有

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1876998, encodeId=576318e69986d, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Tue Oct 23 15:01:00 CST 2018, time=2018-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973291, encodeId=703219e3291a1, content=<a href='/topic/show?id=75a16223199' target=_blank style='color:#2F92EE;'>#根治性膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62231, encryptionId=75a16223199, topicName=根治性膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Tue May 22 17:01:00 CST 2018, time=2018-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1757950, encodeId=327e1e57950fe, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Apr 21 16:01:00 CST 2018, time=2018-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493833, encodeId=85c8149383322, content=<a href='/topic/show?id=238d85e749c' target=_blank style='color:#2F92EE;'>#膀胱切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85774, encryptionId=238d85e749c, topicName=膀胱切除术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e77d9117128, createdName=tonychen24, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586097, encodeId=04e3158609eac, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Mar 01 00:01:00 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291747, encodeId=9fab291e47c2, content=疝并发的可能性有没有, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Wed Feb 28 17:13:44 CST 2018, time=2018-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291393, encodeId=6213291393ce, content=瘘管的并发症的影响.学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/17/cfa76f1048392033b44c71e9bcb628d9.jpg, createdBy=096c2156900, createdName=梦想起航ing, createdTime=Tue Feb 27 11:27:23 CST 2018, time=2018-02-27, status=1, ipAttribution=)]
    2018-02-27 梦想起航ing

    瘘管的并发症的影响.学习了.谢谢

    0

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