摘要
目的:评价回肠代膀胱术与改良MainzⅡ式尿流改道术的临床疗效。方法:对64例膀胱全切术后采用回肠代膀胱术与改良MainzⅡ式尿流改道术,术后对患者控尿,贮尿囊容积、内压,影像学及血生化资料进行比较。结果:回肠代膀胱组49例患者,术后白天控尿良好者44例,夜间控尿良好者42例,容量300-460ml。充盈压12-18cm H_2O。改良MainzⅡ式组15例患者术后白天控尿良好者15例,容量310-500ml。充盈压13-16cmH_2O。结论:两种术式术后疗效均良好。回肠代膀胱生活质量更高,值得优先采用。
Objective：To evaluate the clinical efficacy of ileal orthotopic neobladder and the modified mainz pouchⅡafter total cystectomy.Method：The ileal orthotopic neobladder and the modified mainz pouchⅡwere undertaken after total cystectomy for 64 cases. Continence and catheterization,volume and pressure of the reservoirs,image and hydroelectrolyte condition were investigated.Results： 49 cases with ileal orthotopic neobladder had a volume of 300-460ml and intrareservoir pressure of 12-18cm H2O.Five cases were incontinent at daytime and seven at night whereas the other patients were continent;15 cases with modified mainz pouchⅡhad a volume of 310-500ml and intrareservoir pressure of 13-16cm H2O.All cases were continent.Conclusion：The ileal orthotopic neobladder and the modified mainz pouchⅡcan achieve satisfactory clinical results.The life quality of ileal orthotopic neobladder is higher than that of modified mainz pouchⅡ,thus ileal orthotopic neobladder is a preferred procedure.
出处
《现代生物医学进展》
CAS
2008年第11期2082-2083,2053,共3页
Progress in Modern Biomedicine
关键词
膀胱肿瘤
回肠代膀胱
改良MainzⅡ式
Bladder neoplasms
Ileal orthotopic neobladder
Modified mainz pouchⅡ
