Ostomy bags in management of perioperative urine leakage in bladder cancer patients after radical cystectomy: a report of 97 cases

李雪梅; 季惠翔; 李珍燕; 张静; 陈志文; 方强

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Ostomy bags in management of perioperative urine leakage in bladder cancer patients after radical cystectomy: a report of 97 cases

更新时间：2026-01-09

- Ostomy bags in management of perioperative urine leakage in bladder cancer patients after radical cystectomy: a report of 97 cases
- Journal of Army Medical University Vol. 34, Issue 18, Pages: 1870-1872(2012)
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  CLC： R472.92;R619;R699.5
- Published：2012
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李雪梅,季惠翔,李珍燕,张静,陈志文,方强.早期应用一件式造口袋处理根治性膀胱全切患者术后尿外渗[J].陆军军医大学学报(原第三军医大学学报),2012,34(18):1870-1872.

　Li Xuemei,Ji Huixiang,Li Zhenyan,Zhang Jing,Chen Zhiwen,Fang Qiang.Ostomy bags in management of perioperative urine leakage in bladder cancer patients after radical cystectomy: a report of 97 cases[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(18):1870-1872.
李雪梅,季惠翔,李珍燕,张静,陈志文,方强.早期应用一件式造口袋处理根治性膀胱全切患者术后尿外渗[J].陆军军医大学学报(原第三军医大学学报),2012,34(18):1870-1872. DOI：

　Li Xuemei,Ji Huixiang,Li Zhenyan,Zhang Jing,Chen Zhiwen,Fang Qiang.Ostomy bags in management of perioperative urine leakage in bladder cancer patients after radical cystectomy: a report of 97 cases[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(18):1870-1872. DOI：

摘要

目的评估早期应用一件式造口袋处理根治性膀胱全切患者术后尿外渗的相关费用及对患者围手术期生活质量的影响。方法 2003年1月至2010年12月本所收治根治性膀胱全切术尿流改道和重建患者483例，其中术后发生尿外渗者97例。根据尿外渗的不同处置方法分为A组：常规更换敷料处置（53例），B组：早期应用一件式造口袋处置（44例），统计2组患者尿外渗处理相关费用并采用欧洲生活质量量表（EuroQol）评估患者术后生活质量。结果 B组患者尿外渗处置平均费用显著低于A组，且B组的总体生活质量评分显著高于A组，尤其是在疼痛/不适的描述参数存在显著差异。结论在保持引流管通畅情况下，早期应用一件式造口袋处理根治性膀胱全切术后尿外渗，能够显著改善患者围手术期生活质量，降低相关医疗费用和医护资源，具有一定的推广应用价值。

Abstract

Objective To evaluate the clinical efficiency of ostomy bag in the management of urine leakage in patients with bladder cancer after radical cystectomy. Methods From January 2003 to December 2010

483 patients with bladder cancer received radical cystectomy and then urinary diersion and reconstruction

and 97 from them were found with urinary extravasation. These patients were then randomly divided into group A (53 cases) and group B (44 cases) respectively. All patients of group A were treated by routine dressing changes. The leakages of group B were managed with ostomy bags. Perioperative quality of life was evaluated with EuroQoL Quality of Life Scale (EuroQol). The results and cost for urine leakage for both groups were compared. Results The average cost in management of perioperative urine leakage was significantly lower in group B than in group A. Patients in group B had an overall better perioperative life quality compared to group A. In particular

the score for pain/discomfort was significantly higher in group B than in group A. Conclusion The management of perioperative urine leakage with ostomy bags avoids constantly body wet

significantly increases the quality of life

and reduces the special costs of urine leakage in patients with bladder cancer after radical cystectomy.

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