膀胱全切原位回肠代膀胱术的临床应用  

Clinical application of radical cystectomy with orthotopic ileal neobladder

作　　者：王纪三[1] 苏磊[1] 滕兆礼[1] 宋世德[1] 丁波[1] 申永璋[1] 

机构地区：[1]日照市人民医院泌尿外科,山东省日照276800

出　　处：《中国基层医药》2008年第10期1615-1616,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察膀胱全切原位回肠代膀胱术的临床疗效。方法回顾性分析28例膀胱肿瘤患者行膀胱全切原位回肠代膀胱术的临床资料。结果全部病例可完全控尿，夜间需定时排尿；膀胱最大贮尿量平均330ml，残余尿均小于70ml；所有患者均随访4～58个月，平均18个月，27例无瘤生存，1例肿瘤复发；并发症：有消化道应激性溃疡出血2例，粘连性不全肠梗阻和肠膀胱颈口梗阻、肠膀胱结石各1例，性功能完全丧失3例。结论膀胱全切原位回肠代膀胱术具有膀胱容量大、内压低、正位排尿、可控性能好等优点，是一种较理想的膀胱替代术式。Objective To evaluate the clinical efficacy of radical cystectomy with orthotopie ileal neobladder. Methods 28 cases of bladder tumor treated with radical cystectomy with ileal orthotopic neobladder were studied retrospectively. Results All patients achieved excellent continence, whereas possessory patients needed time-lapse emiction at nighttime. The mean bladder capacity for the entire group was 330 ml. Residual urine was less than 70 ml. All of these patients have been followed up for 4 - 58 months with a mean of 18 months. They were survival with no recurrences except 1 case. Good urinary stream was reported. A little operative complications occurred. Conclusion The operation of radical cystectomy with orthotopic ileal neobladder might be an ideal way of bladder replacement, characterized by large capacity,low pressure, orthotopic continent urination.

关 键 词：膀胱肿瘤 泌尿外科手术 肠道代膀胱术 疗效 

分 类 号：R737[医药卫生—肿瘤]