膀胱全切术后原位膀胱形态与储尿功能的相关性研究  

Observation of surgical procedure and urine storage function of orthotopic neobladder after radical cystectomy

作　　者：史东民[1] 王赫[1] 牛颜良[1] 李彦龙[1] 张明刚[1] 史沛清[2] 李学东[2] 孙长华[1] 黄永刚[1] 于景江[3] 姜维广[4] 谭志祥[5] 

机构地区：[1]哈尔滨市第一医院泌尿外科,150010 [2]哈尔滨医科大学附属第二医院泌尿外科 [3]大庆油田总医院泌尿外科 [4]大庆市第四医院泌尿外科 [5]黑龙江农垦总局医院泌尿外科

出　　处：《中华泌尿外科杂志》2013年第10期746-748,共3页Chinese Journal of Urology

摘　　要：目的探讨膀胱全切术后原位膀胱形态和储尿功能的相关性。方法1991年1月至2011年3月行膀胱全切原位膀胱术患者117例，男104例，女13例。年龄38～70岁，平均56岁。采用W形回肠原位膀胱28例，VIP原位膀胱14例，去带乙状结肠膀胱50例，去管乙状结肠膀胱25例。结果术后随访1～3年34例，〉3年35例。所有患者术后1年储尿功能稳定，均接近正常膀胱储尿功能。回肠膀胱形态似球形，以VIP原位膀胱形态和储尿功能为优。结论采用去管化原位膀胱远期储尿功能满意；同类相同长度肠管成形的膀胱形态与储尿容量相关。Objective To identify the best surgical procedure for orthotopic neobladder by evaluating the morphology and the urine storage function of the neobladder in comparison of the four surgical procedures. Methods From Jan. 1991 to Mar. 2011, there were 117 cases radical eystectomies in our institute performed. Of these cases, there were 28 cases using W ileal orthotopic bladder, 14 cases using VIP in situ bladder, 50 cases using detenial sigmoid colon bladder, 25 cases using sigmoid colon bladder. Results 69 cases were followed up for 1-3 years, among them 35 cases were followed up more than 3 years. All the cases with different surgical procedures after 1 year were with stable urine storage function of the urinary bladder and were close to normal urine storage function. The ileum bladder shape was like a ball. After comparison, the VIP in situ bladder was the best choice for in situ bladder and urine storage function. Conclusions For different neobladder, there is no obvious difference in long-term urine storage function; Neobladder morphology and urine storage capacity is related with the length of bowel loops.

关 键 词：原位膀胱 形态 储尿功能 

分 类 号：R737.14[医药卫生—肿瘤]