Objective To explore the influence of new system bladder function training on urine flow mechanics for the patients after bladder full cut in situ sigmoid generation bladder operation and its clinical significance. Methods 32 patients of bladder cancer were randomly divided into test group(18 case) and control group(14 case). Test group trained by new system bladder function training methods while control group trained by general methods. Then did the urine dynamics inspection, urinary incontinence after 3 months and 9 months, to evaluate the quality of life after 9 months. Results There was significant different between the two groups on the result of urine flow mechanic after 3 and 9 months (P<0.05), the same to the result of quality of life (P<0.05). Conclusion Bladder training is proved to be an effective method to adapt to the new way of voiding for patients after bladder full cut in situ sigmoid generation bladder operation,which improve the urine flow mechanic and call increase the ability to control urine, also decrease the rate of urinate infection and improve the quality of life.%目的:探讨系统新膀胱功能训练对根治性膀胱全切原位乙状结肠代膀胱术后患者尿流动力学的影响及临床意义。方法将32例膀胱癌患者随机分为实验组(18例)和对照组(14例),实验组进行系统新膀胱功能训练,对照组行普通膀胱功能训练,于术后3、9个月行尿流动力学检查,术后9个月进行生活质量评价。结果2组患者3、9个月的尿动力学检查结果比较差异有统计学意义(P <0.05),术后9个月生活质量评价统计学意义显著(P <0.05)。结论系统新膀胱功能训练是原位乙状结肠代膀胱术后患者掌握和适应新排尿方式的有效途径,患者尿流动力学指标明显改善,可以有效提高控尿和排尿能力,生活质量得到显著提高。
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