无管化技术在膀胱重建术中的应用体会  

The application of tubeless method in bladder remodelling

作　　者：李鑫[1] 巴彩霞[1] 汪小军[1] 李瑾[1] 王佳琦[1] 胡琦[1] 赵星星[1] 崔鹏[1] 

机构地区：[1]包头市肿瘤医院泌尿外科,内蒙古014030

出　　处：《国际泌尿系统杂志》2013年第1期23-25,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨无管化技术在膀胱重建术中的应用。方法2009年开始，在膀胱癌治疗中对膀胱重建术给予改进。术中鞘外游离输尿管，将输尿管拖人回肠膀胱（或回肠原位新膀胱）内1．5—2．Oem．不留置输尿管支架管。结果15例病例，14例成功，一例手术后出现输尿管乳头水肿，改行支架管置入术。术后6—9d拆线出院。缩短患者住院时间，减轻患者药费压力，避免拔管、堵管及尿路感染，术后方便护理。结论通过与原方案疗效、近远期并发症发生的对比，无管化技术安全可行，疗效肯定，不增加明显并发症。Objectives To discuss the application of tubeless method in bladder remodeling. Methods We have begun to improve the method of bladder remodeling in treatment of bladder carcinoma patient since 2009. We free ureter out of the sheath intraoperation and put it into ileum about 1.5 to 2 centimetre. We dont put ureteral stent after the operation. Results We have finished 15 cases of which 14 are successful. There is a patient that occurred ureter papilla edema and turn to put ureteral stent. The patients can take out the sutures 6 - 9 days after op- eration. It can shorten in hospital time, relieve the expenses for medicine, avoid extubation pipe blockage and urinary tract infections. It＇s convenient for nursing care. Conclusions We found out that the application of tubeless method is safe and effective and don ＇t add evident side effect comparing with the parimary operation from curative effect and recent and long -term complications.

关 键 词：膀胱 

分 类 号：R699.5[医药卫生—泌尿科学]