Roux-y乙状结肠新膀胱术对代谢的影响  

Effect on metabolic state in patients with Roux-y sigmoid neobladder

作　　者：夏维木[1] 刘定益[2] 王名伟[3] 周文龙[3] 王健[2] 徐玉生[1] 叶永峰[1] 张立[1] 马春曦[1] 陈荣剑[1] 

机构地区：[1]江西鹰潭中国人民解放军第184医院泌尿外科,江西335000 [2]上海市浦东新区浦南医院泌尿外科,上海200125 [3]上海交通大学医学院附属瑞金分院泌尿外科,上海200025

出　　处：《中华内分泌外科杂志》2009年第2期120-121,共2页Chinese Journal of Endocrine Surgery

基　　金：中国人民解放军南京军区医学科学技术研究”十一五”计划资助项目（06MA80）

摘　　要：目的评价Roux-y乙状结肠新膀胱术对代谢的影响。方法本组33例（男21例，女12例）膀胱癌，均采用根治术膀胱全切、利用肛门括约肌控尿的Roux-y乙状结肠新膀胱术行手术治疗，分析新膀胱引流管拔管前后血电解质、肌酐和尿素的变化以评价新膀胱对代谢的影响。结果33例术后血电解质、肌酐和尿素均在正常范围，拔管前后电解质、肌酐和尿素的差异无统计学意义，3例有轻度酸中毒。结论Roux-y乙状结肠新膀胱术是有效、安全的可控尿流改道方法，对人体代谢没有明显的影响。Objective To assess metabolic state in patients with Roux-y sigmoid neobladdcr. Methods The study comprised 33 patients（ 21 men and 12 women） with Roux-y sigmoid neobladder after oncological surgery. All enrolled patients were treated by the same protocol. Before and after withdrawing the catheter , serum e- lectrolytes, creatinine and urea were analysed and used to assess the effect. Results All 33 patients were evaluable. Before and after withdrawing the catheter , serum electrolytes, creatinine and urea were normal values and there was no signifcant difference（P 〉0. 05 ）. Three patients developed mild metabolic acidosis. Conclusions The Roux-y sigmoid neobladder is a feasible , safe and effective method for continent urinary diversion. This surgical technique had no signifcant effect on metabolic state.

关 键 词：尿流改道 膀胱切除 乙状结肠新膀胱 代谢 

分 类 号：R737[医药卫生—肿瘤]