单纯皮肤输尿管造口术与根治性膀胱切除术后回肠导管阻塞术患者的生活质量分析。

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-04-01 DOI:10.21614/chirurgia.3128
Cosmin-George Radu, George Daniel Rădăvoi, Justin Aurelian, Ion-Florin Achim, Iulia Andras, Maximilian Buzoianu, Elisabeta Ioana Hiriscau, Nicolae Crisan, Silviu Constantinoiu, Viorel Jinga
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引用次数: 0

摘要

导言:根治性膀胱切除术(RC)联合盆腔淋巴结切除术仍然是治疗肌肉浸润性膀胱癌(MIBC)的标准治疗方法。尿分流类型对术后健康相关生活质量(HRQoL)的影响仍然是一个有争议的话题,特别是在东欧临床实践的背景下。目的:这项回顾性、观察性、多中心的研究旨在比较罗马尼亚两个学术中心采用不同手术入路的RC术后单纯皮肤输尿管造口术(SCU)或非大陆回肠导管(Bricker)患者的生活质量。材料和方法:共纳入46例诊断为非转移性MIBC的患者,并平均分为两组。术后3个月采用EQ-5D-5L问卷和EQ-VAS视觉模拟量表评估患者的生活质量。索引分数是使用欧洲值集计算的。应用多元线性回归来确定生活质量评分的独立预测因子。结果:Bricker组患者报告的EQ-VAS评分略高。矛盾的是,社会支持与较低的指数得分相关(p 0.001),这表明需要帮助的患者有更严重的功能障碍。手术入路的类型对生活质量没有显著影响。男性患者在自我护理和日常活动方面有更大的限制(p < 0.05)。结论:两种尿分流技术在术后3个月的生活质量相当。社会支持可以作为功能脆弱性的间接标志,强调需要个性化和多学科的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of Life Analysis in Patients with Simple Cutaneous Ureterostomy versus Ileal Conduit Bricker Following Radical Cystectomy.

Introduction: Radical cystectomy (RC) with pelvic lymphadenectomy remains the standard therapeutic approach in the treatment of muscle-invasive bladder cancer (MIBC). The impact of urinary diversion type on postoperative health-related quality of life (HRQoL) remains a debated topic, especially in the context of Eastern European clinical practice. Objective: This retrospective, observational, multicentric study aimed to compare the quality of life in patients undergoing RC followed by either simple cutaneous ureterostomy (SCU) or non-continent ileal conduit (Bricker), across two academic centers in Romania, utilizing different surgical approaches. Material and Methods: A total of 46 patients diagnosed with non-metastatic MIBC were included and equally distributed into two groups. Quality of life was assessed at 3 months postoperatively using the EQ-5D-5L questionnaire and the EQ-VAS visual analogue scale. Indexed scores were calculated using a European value set. A multivariate linear regression was applied to identify independent predictors of quality of life scores. Results: Patients in the Bricker group reported slightly higher EQ-VAS scores. Paradoxically, social support was associated with lower indexed scores (p 0.001), suggesting more severe functional impairment among patients requiring assistance. The type of surgical approach did not significantly impact quality of life. Male patients reported greater limitations in self-care and daily activities (p 0.05). Conclusions: Both urinary diversion techniques yield comparable quality of life outcomes at 3 months postoperatively. Social support may serve as an indirect marker of functional vulnerability, emphasizing the need for an individualized and multidisciplinary approach.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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