阑尾输出道可控性去带盲升结肠膀胱术  

Detenial ceacal-colon continent reservoir with an unaltered in situ appendix conduit

作　　者：冯继周[1] 张烨[1] 高继学[1] 白安胜[1] 

机构地区：[1]延安大学医学院附属医院泌尿外科,陕西延安716000

出　　处：《现代泌尿外科杂志》2005年第1期42-43,共2页Journal of Modern Urology

摘　　要：目的　探讨膀胱全切术后阑尾输出道可控性去带盲升结肠膀胱的选择与应用。方法　回顾性分析7例阑尾输出道可控性 去带盲升结肠膀胱术患者的临床资料。结果　随访8～36个月,7例患者术后恢复良好,储尿囊平均容量380mL,平均压力 3.10kPa,排尿控制良好,插管简单,并发症少。结论　阑尾输出道可控性去带盲升结肠膀胱术是一种较为理想的肠代膀胱术。Objective To modify and improve the technique of continent bladder after total cystectomy. Methods The clinical data of 7 patients with bladder cancer who were treated with the continent deteninl cecum-ascending colic bladder were reviewed and analysed. Results The patients were follweed up for 8-36 months. The capacity of the urine reservoir was 320～490mL (averaged 380mL), and the average intrareservoir pressure was 3.10kPa. Continence of urination was excellent and there was few complications. Conclusion Continent detenial cecum-ascending colic bladder is a better procedure for the reconstruction of urine reservoir after total cystectomy.

关 键 词：升结肠 阑尾 输出道 膀胱全切术 患者 并发症 储尿囊 

分 类 号：R737.14[医药卫生—肿瘤] R656[医药卫生—临床医学]