직장암환자에서 복회음병합절제술 (Miles' operation) 후 발생한 지속적인 배뇨장애의 치료

• Published in: Kosin Medical Journal (Online) pp. 143 - 150
• Main Authors: 박희석, 김기찬, 정호중
• Format: Journal Article
• Language: Korean
• Published: 고신대학교 의과대학 학술지 01.05.1998
• Subjects: 의학일반
• ISSN: 2005-9531; 2586-7024

Bladder dysfunction is one of the serious postoperative complications after rectal cancer surgery. To get sufficient objective data and factors for adequate management of bladder dysfunction following rectal cancer surgery, we reviewed medical records of 122 patients who had abdominoperineal resection of rectum (Miles' operation) for rectal cancer. The incidence of bladder dysfunction in 122 rectal cancer patients was 18.9 percent (23 patients). Among 23 patients with bladder dysfunction, 10 patients were referred to our rehabilitation service and their bladder was areflexic type neurogenic bladder at referred time. In 10 patients referred to our rehabilitation service, 8 patients (80.0%) got the balanced bladder and 2 patients (20.0%) failed, and the interval between beginning of bladder training and establishment of balanced bladder in 8 patients was 13.4±6.8 days. In 13 patients did not referred to our service, only 3 patients (23.1%) got the balanced bladder and 10 patients (76.9%) failed. To improve the life quality of the rectal cancer patients with neurogenic bladder following abdominoperineal resection of rectum, early proper rehabilitative managements including bladder training were should be given. KCI Citation Count: 0