摘要
目的:对Studer回肠新膀胱术进行技术改良并评价其临床效果。方法:采用根治性膀胱全切、改良Studer回肠新膀胱术治疗5例男性浸润性膀胱癌患者。结果:5例患者手术顺利。拔除尿管后4例患者恢复生理性排尿,1例不能自主排尿。随访6～12个月,4例患者昼夜控尿良好。5例患者静脉肾盂造影未见输尿管新膀胱吻合口狭窄及上尿路积水。结论:改良Studer回肠新膀胱术操作相对简单,手术并发症低,可以取得满意的临床效果。
Objective： To evaluate the clinical outcome of modified Studer neobladder after radical cystectomy. Methods： Radical cystectomy and modified Studer neobladder operation were performed in 5 male patients with bladder cancer. Clinical outcome of these patients was evaluated. Resuits： All patients recovered smoothly. Four of the 5 patients achieved acceptable daytime and nighttime continence after following-up for 6-12 months. One patient can not urinate after the catheter withdrawal. No ureteral stenosis and dilation of upper urinary tract were found by intravenous pyelography during the follow-up. Conclusion： Our preliminary results show that modified operation on Studer neobladder is an easily performed urinary diversion with low surgery complication and satisfactory good clinical effect.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2005年第20期1168-1170,共3页
Chinese Journal of Clinical Oncology
关键词
膀胱肿瘤
膀胱全切
尿流改道
Bladder neoplasm Cystectomy Urinary diversion
