Abstract：Objective To explore a new bladder irrigation method for reducing early postoperative complications of ileal neobladder.Methods Forty-five patients who ileal neobladder postoperative were treated with continuous bladder irrigation alone(group A),intermittent bladder irrigation alone(group B),or the combination of both methods(group C),with 15 patients in each group.Urine white blood cell count ≥1×104 L-1(white blood cell count ≥1×104 L-1 as the urinary tract infection),urine bacterial count ≥8000 μL-1(urine sediment bacterial quantitative count≥8 000 μL-1 as the positive reference value for urinary tract infection),drainage tube obstruction and postoperative complications were observed in all patients.Results Urine white blood cell count 1×104 L-1and urine bacterial count≥8000 μL-1in group C were significantly less than those in group A and group B(all P<0.05),but there were no obvious differences between group A and group B(P>0.05).The incidences of drainage tube obstruction,urinary leakage from the cystotomy and wound infection in group C were significantly lower than those in group A and group B(all P<0.05).The incidence of intestinal obstruction in group C was significantly lower than that in group A(P<0.05),but was not obviously different from that in group B(P>0.05).The incidences of drainage tube obstruction,incisional infection and intestinal obstruction in group B were significantly lower than those in group A(all P<0.05),but there were no obvious differences in urinary leakage from the cystotomy between the two groups(P>0.05).Conclusion The combined method of continuous bladder irrigation and intermittent bladder irrigation can reduce postoperative wound infection,urinary tract infection in patients with following ileal neobladder reconstruction. 更多
2012, Vol. 5 
