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可控盲结肠膀胱术19例

Continent cecocolic bladder: a clinical report of 19 cases
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摘要 目的 :探讨膀胱全切术后可控盲结肠膀胱术的选择及应用。方法 :回顾性分析我科 1 9例可控盲结肠膀胱术患者的临床资料。结果 :1 9例患者术后恢复较好 ,储尿囊平均容量 4 80ml,平均压力 (1 .96± 0 .4 9)kPa ,排尿控制较好 ,插管容易 ,无尿失禁及输尿管反流。结论 :可控盲结肠膀胱术具高容量、低内压、控制排尿等特点 ,可极大提高患者的生活质量 ,其中以可控去带盲结肠膀胱术最为简单、有效 。 Purpose:To discuss the choice and application of continent cecocolic bladder after total cystectomy.Methods:Continent cecocolic bladder was performed for 19 cases of bladder cancer after total cystectomy.Results:Postoperative recovery of 19 patients were good. The average capacity of the urine reservoir was 480 ml, the average pressure in the pouch was ( 1.96 ± 0.49 )kPa, Continence of urination was excellent and cannula was very easy. There were no urine reflux and urine incontinence existed after this operation.Conclusions:Continent cecocolic bladder provided a large capacity, low intrareservoir pressure urine reservoir with excellent continence. Continent detenial cecocolic bladder shoule be recommended for clinical application because of its simpleness and effective result.
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出处 《临床泌尿外科杂志》 2003年第6期349-350,共2页 Journal of Clinical Urology
关键词 可控盲结肠膀胱术 膀肮肿瘤 尿路分流术 输尿管反流 Bladder neoplasms Urinary diversion Continent cecocolic bladder
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  • 1梅骅 梅骅 章咏裳主编.可控膀胱术[A].梅骅,章咏裳主编.泌尿外科手术学 第2版[C].北京:人民卫生出版社,1996.401—411. 被引量:2
  • 2王玲珑 王立超 高新.纯乙醇黏膜功能细胞灭活实验研究[J].中华泌尿外科杂志,1992,13:91-91. 被引量:1
  • 3Alcini E D, Addessi A. Results of 4 years of experience with bladder replacement using anileoecal sesment with wuhiple transverse teniamyotomice, J Urol, 1993,149 :735--735. 被引量:1

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