去带盲结肠可控膀胱术(附23例报告)  

Detenial ceacal-colon continent reservoir(report of 23 cases)

作　　者：张志宏[1] 王存龙[1] 高福元[1] 王立明[1] 裴琼[1] 高希民[1] 冯宗承[1] 

机构地区：[1]唐山工人医院泌尿外科,063000

出　　处：《中华泌尿外科杂志》2000年第11期665-666,共2页Chinese Journal of Urology

摘　　要：目的　改进膀胱癌患者膀胱全切后贮尿和排尿问题。　方法　对 2 3例全膀胱切除患者行去带盲结肠可控膀胱术。　结果　 2 2例术后随访 3～ 30个月 ,3个月后贮尿囊容量 45 0～ 6 0 0ml,平均 5 5 0ml,平均内压 (14± 8)cmH2 O(1cmH2 O =0 .0 98kPa) ,贮尿囊造影未见输尿管返流 ,IVU示上尿路无积水和输尿管狭窄 ,排尿控制良好 ,插管容易。　结论　去带盲结肠可控膀胱术是一种较为理想的尿流改道方法 ,具有较好的应用价值。Objective To evaluate the technique of detenial ceacal-colon continent reservoir. Me-thods 23 patients with bladder cancer were treated with detenial ceacal-colon continent reservoir after total cystectomy Results On a follow up of 3 months ,the capacity of the reservoir has been 450～600*!ml with an average of 550*!ml,the average intrareservoir pressure was (14±8) cmH 2O and there has been neither urine reflux nor hydronephrosis.Continence of urination has been excellent . Conclusions Detenial ceacal colon continent reservoir was an effective and simple means of urine diversion after total cystectomy.

关 键 词：膀胱肿瘤 尿路分流术 去带盲结肠可控膀胱术 

分 类 号：R730.5[医药卫生—肿瘤]