探讨原位可控回结肠代膀胱术并发症的防治  

Prevention and Treatment of Complications for in Situ Continent Ileocolic Bladder Substitution

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作  者:王璠[1] 

机构地区:[1]内蒙古民族大学附属医院泌尿外科,内蒙古通辽028000

出  处:《内蒙古民族大学学报(自然科学版)》2008年第4期430-433,共4页Journal of Inner Mongolia Minzu University:Natural Sciences

摘  要:目的:探讨、对比原位可控回结肠代膀胱术及原位可控结肠代膀胱术优缺点及其并发症的防治.方法:回顾性分析原位可控回结肠代膀胱术及原位可控结肠代膀胱手术患者临床资料,总结出防治原位可控回结肠及结肠代膀胱术并发症的有效可行防治方法.结果:原位回结肠代膀胱术13例中发生早晚期并发症2例,占15.3%,其中早期并发症1例(尿漏),晚期并发症1例(输尿管新膀胱吻合口狭窄),结肠代膀胱术12例中发生早晚期并发症5例,占41.6%,其中早期并发症3例(尿漏2例,粘液分泌过多1例),晚期并发症2例(输尿管新膀胱吻合口狭窄1例,新膀胱输尿管反流1例).结论:回结肠原位代膀胱术后尿液可控率高,原位自主排尿,提高患者生活质量,术后近期及远期随访效果较好,具有临床应用价值.大量临床及尿流动力学研究表明,回结肠代膀胱是各种肠代膀胱中较理想的手术方式.Objective:To study and compare advantages and disadvantages, prevention and treat-ment for in situ ileocolic and colic bladder substitutions. Methods: Retrospectively analyzing the patients' clinical data treated with these two operative techniques and summarizing the effective and feasible methods for the prevention and treatment of their complications. Results: Among 13 cases of in situ ileocolic bladder substitution complications occurred in 2 cases(15.3 %, 1 case of urine leakage as early complication and 1 case of anastomotic stenosis as late complication). Among 12 cases of colic bladder substitution complications happened to 5 cases (41.6% ,2 cases of urine leakage and 1 case of polyblennia as early complication, 1 case of anastomotic stenosis and 1 case of ureteric backflow as late complication). Conclusion: More patients treated with ileocolic bladder substitution can urinate autonomically. This method can improve patient's life quality, has better postoperative effect in the early and late follow-up and is worth popularizing. It has been improved by clinical and urodynamic studies that ileocolic bladder substitution is an ideal operative technique among all bladder substitutions.

关 键 词:膀胱肿瘤 原位新膀胱 并发症 

分 类 号:R737.14[医药卫生—肿瘤]

 

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