Objective:To analyze the survival rate and the quality-of-life of the primaryT2,T3 bladder cancer patients who had partial cystectomy and radical cystectomy,and find the influence factors of the the survival rate and the quality-of-life between the bladder cancer patients who had different operations.Methods:Patients who had partial cystectomy and radical cystectomy are selected in Shandong provincial hospital from January 1998 to December 2007.Using Social Sciences statistical methods to analyze the factors which influence the survival rate and the quality-of-life of the bladder cancer patients who had partial cystectomyand radical cystectomy.And compare their survival rates and quality of life after operation.Result:From January 1998 to December 2007,there were 281 patients who underwent partial cystectomy and radical cystectomy in Shandong provincial hospital.The average age is 69.6(23-95), including 234 male patients and 47 female patients,male:female 4.97:1.Urothelial bladder tumor patients are 267.Of the group,209 patients underwent partial cystectomy and 72 patients had radical cystectomy.Drop the ones who did not have pathological report and were metastatic patients,169 patients are followed up with the follow-rate 70.12%.1-year survival rate,3-year survival rate,5-year survival rate and 10-year survival rate of the patients who had partial cystectomy are 93.75%,75.1%,54.2%,31.9%.And 1-year survival rate,3-year survival rate,5-year survival rate and 10-year survival rate of the patients who underwent radical cystectomy are 92.6%,74.3%,68.3%,48.6%.Using the Functional Assessment of Cancer Therapy Scale-Bladder cancer(FACT-BL) to score the Quality of the Life,the quality of life of the patients who had partial cystectomy is better than the other ones.The result has the statistical significance.Conclusions The surviral rates of the patients who underwent partial cystectomy and radical cystectomy are related to the surgery way.The 5-year and 10-year survival rates of the patients who had radical cystectomy are higher than the ones who had partial cystectomy.And the quanlity-of-life of the patients who had partial cystectomy is better than the other ones. |