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目的比较改良和传统输尿管皮肤造口术的临床疗效。方法输尿管皮肤造口术患者58例,分为改良手术组(36例)和传统术式组(22例),对两组患者进行随访,比较两种术式患者造口效果及术后并发症发生情况。结果传统组及改良组造口感染分别为7例和3例(P<0.05),乳头萎缩分别为4例和1例(P<0.05),末端坏死分别为1例和0例(P>0.05),外口狭窄分别为3例及2例(P>0.05)。结论在患者身体状况允许的情况下,选择输尿管皮肤造口方式时应优先考虑行改良输尿管皮肤造口手术,以减少手术并发症。
Objective To compare the clinical efficacy of modified and traditional ureteral skin ostomy. Methods 58 patients with ureteral skin ostomy were divided into modified surgery group (36 cases) and traditional surgery group (22 cases). The patients in two groups were followed up. The stoma and postoperative complications What happened? Results The incidence of stoma infection in the traditional group and the modified group were 7 cases and 3 cases respectively (P <0.05). The papillary atrophy was 4 cases and 1 case (P <0.05), the terminal necrosis was 1 case and 0 case ), 3 cases of external stenosis and 2 cases of stenosis (P> 0.05). Conclusion In the case of patients with physical conditions, the choice of ureteral skin ostomy should give priority to the line of modified ureteral skin ostomy surgery to reduce the surgical complications.