摘要
目的 提高膀胱肿瘤全膀胱切除的临床疗效。 方法 对 15例膀胱肿瘤患者行可控性盲结肠膀胱术 ,并对术式进行改进。 结果 15例随访 4～ 2 9个月 ,3个月后贮尿囊容量 45 0～ 6 5 0ml,平均 5 5 0ml,充盈状态下平均囊内压 (11.4± 4.3)cmH2 O(1cmH2 O =0 .0 98kPa) ,贮尿囊造影未见输尿管返流 ,IVU示上尿路无积水和输尿管狭窄 ,排尿控制良好 ,插管容易。 结论 改良可控性盲结肠膀胱术操作简单 ,贮尿囊容量大、内压低、自控排尿良好 ,并发症少 ,具有良好的临床应用价值。
Objective To evaluate a modified cecocolon continent urinary reservoir after total cystectomy for the management of bladder cancer. Methods 15 cases of bladder cancer managed by a modified cecocolon continent urinary reservoir(Indiana pouch)after total cystectomy were reviewed and evaluated. Results All the patients have been followed up for a mean of 14 months ranging from 4 to 29 months.The capacity of the reservoir was 450～650 ml with an average of 550 ml and the average intrareservoir pressure (11.4±4.3)cm H 2O.Neither ureteral reflux nor hydronephrosis has been observed.Continence of urination has been excellent . Conclusions The modified cecocolon continent urinary reservoir assures a large capacity continent urinary reservoir with low intrareservoir pressure and less complications,and the surgical technique is easier to carry out.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2002年第8期459-460,共2页
Chinese Journal of Urology
