正位可控去带盲结肠膀胱术  

Orthotopic detinia cecal-ascending colon continent urinary reservoir

作　　者：刘锦元 何德辉 麦银英 

机构地区：[1]广东省德庆县人民医院泌尿外科,526600

出　　处：《中国实用医药》2009年第17期44-45,共2页China Practical Medicine

摘　　要：目的探讨正位可控去带盲结肠膀胱术的临床效果。方法采用膀胱全切正位可控去带盲结肠治疗膀胱癌15例。结果随访6～48个月,均无严重并发症。尿动力学检查:贮尿囊平均容量320 ml,平均囊内压2.96 kPa,剩余尿量为21 ml,最大尿流率19.3 ml/s。贮尿囊造影无双侧输尿管反流,IVU显示无输尿管狭窄,B超示2例肾积水。血电解质及肾功能正常。结论正位可控去带盲结肠膀胱术操作简单,并发症少,疗效好,是一种较理想的尿流改道术。Objective To evaluate the orthotopic detinia cecal-ascending colon continent urinary reservoir after radical cystectomy for the management of bladder cancer. Methods 15 cases of bladder cancer managed by the orthotopic detinia cecal-ascending colon continent urinary reservoir after radical cystectomy were reviewed and evaluated. Results Patients have been followed up for 6 -48 months. No serious operative complications occurred. It show that the average volume of the reservoir, intrareservoir pressure,residual urine volume and the peak urinary flow rate were 320 ml,2.96 kPa,21 ml and 19.3 ml/s respectively. There has been neither urine reflux nor ureterostenoma in intravenous urogram. Nephrohydrosis occurred in 2 patients examined by ultrasound. Blood electrolyte and renal function were in normal range. Conclusion Orthotopic detinia cecal-ascending colon continent urinary reservoir might be an ideal form of urinary diversion, which was characterized by simple and easy techniques,fewer complications and good clinical results.

关 键 词：膀胱肿瘤 膀胱切除术 可控性膀胱术 

分 类 号：R737.14[医药卫生—肿瘤]