根治性膀胱全切输尿管单乳头皮肤造口治疗浸润性膀胱癌  

Bilateral ureter within single nipple for cutaneous ureterostomy after radical cystectomy to treat the advanced stage bladder carcinoma

作　　者：顿金庚[1] 祖雄兵[1] 宁坷平[1] 李扬[1] 高宁[1] 丁见[1] 陈智勇[1] 张晓波[1] 齐琳[1] 

机构地区：[1]中南大学湘雅医院泌尿外科,湖南长沙410008

出　　处：《中国现代医学杂志》2008年第20期3017-3019,共3页China Journal of Modern Medicine

摘　　要：目的探讨根治性膀胱全切输尿管单乳头皮肤造口治疗晚期膀胱癌的手术适应证及治疗效果。方法采用单乳头输尿管一侧腹壁造口术式,即将左侧输尿管经乙状结肠腹膜后转移至右侧与该侧输尿管一并引出腹壁,形成单乳头,外接集尿袋。治疗11例浸润性膀胱癌。结果乳头形成好,术后尿液引流通畅,无手术死亡及严重并发症。随访2个月～1.5年无乳头回缩塌陷、肾盂肾炎。经大剂量静脉肾盂造影、B超检查,证实双肾无明显积水。结论该手术操作简单、安全、并发症少、成功率高,特别适合输尿管扩张积水的老年、全身情况差,不宜行复杂手术的高危患者。Objective To evaluate the indication, effect and complication of bilateral ureter within single nipple for cutaneous ureterostomy after radical cystectomy to treat the advanced stage bladder carcinoma.Methods Bilateral ureter within single nipple for cutaneous ureterostomy was performed on 11 patients after radical cystectomy.ResultThe nipple was formed well, and urinary drainage was unobstructed.No death or severe complication occurred.The patients have been followed up for 2 months to 1.5 years.Urinary, e...

关 键 词：膀胱癌 尿流改道 输尿管单乳头皮肤造口 

分 类 号：R737.14[医药卫生—肿瘤]