回腸導管造設術後における患者の生活の質(Quality of life)についての検討

Abstract

過去10年5ヵ月間に経験した回腸導管造設術の36症例についてQOLを中心として検討した. 1)生存者20例にQOLに関しての質問をしたところ, 15例の回答を得た. 2)就業復帰率は64%と低下したが, 食欲, 睡眠時間, 入浴回数の術後低下は軽度であった.膀胱全摘出術時nerve sparingを行わず根治的手術を行っても術後3例が勃起可能で, 性生活が可能であった

Between August, 1985 and December. 1995 ileal conduit was performed in 36 cases of bladder cancer (30 males, 6 females). A survey based on a questionnaire was carried out on 15 patients to assess their quality of life (QOL) after the surgery. The questionnaire dealt with the working situation, appetite, sleep, defecation, bathing, travel, general health condition, satisfaction, sexual life and erection. Although only 64.0% of the patients returned to work, appetite, hours of sleep and bathing frequency showed only a slight decrease. We performed total cystectomy without using the nerve sparing method. After the operation, three patients could have an erection and enjoy sexual life. Because the ileal conduit resulted in few complications and only a slight reduction in QOL, it was considered an appropriate operation.