原位新膀胱的尿流动力学评估及改善尿控功能的重建技术  

Urodynamic examination of orthotopic neobladder and reconstruction techniques for promoting urinary control

作　　者：沈思宏 曾骁[1] 彭聊 沈宏[1] 罗德毅[1] SHEN Sihong;ZENG Xiao;PENG Liao;SHEN Hong;LUO Deyi(Department of Urology,Institute of Urology,West China Hospital,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院泌尿外科四川大学华西泌尿外科研究所,成都610041

出　　处：《临床泌尿外科杂志》2023年第2期146-150,共5页Journal of Clinical Urology

基　　金：国家重点研发计划项目(No:2021YFC2009102)。

摘　　要：根治性膀胱全切术联合原位新膀胱是浸润性膀胱癌患者的最佳治疗选择。目前新膀胱术后功能评价标准尚不完善。尿流动力学检查作为评估膀胱功能的客观手段,在临床上应用广泛。完善标准化尿流动力学检查可对术后新膀胱的功能进行持续监测以指导管理,从而提高术后生活质量。理想的原位新膀胱应有适宜尿流率、足够的容量、残余尿少、低压、高顺应性、稳定、具有良好的排尿和控尿能力。针对保护排尿及控尿机制的重建技术,对于解决原位新膀胱术后新膀胱功能障碍至关重要。本文基于尿流动力学对原位新膀胱功能评价内容进行综述,并对促进尿控功能的重建技术加以总结,为临床治疗及术后功能评价提供参考。Radical cystectomy combined with intestinal orthotopic neobladder has been regarded as the best treatment option for patients with invasive bladder cancer.However,postoperative functional evaluation is not enough presently.As an objective mean to evaluate the function of neobladder after surgery,urodynamic examination is widely used by clinicians to continuously monitor the orthotopic neobladder and provide management guidance,thus improving postoperative quality of life.The ideal neobladder should have satisfactory urinary flow rate,adequate bladder capacity,low residual urine,low pressure,high compliance,stability,effective urination and urinary control.Reconstruction techniques for protecting the mechanism of urination and urinary control are very important to solve the dysfunction of neobladder.In this paper,we reviewed the evaluations of neobladder function based on urodynamic examination,and summarized the reconstruction techniques to promote urinary control,which provided reference for clinical treatment.

关 键 词：原位新膀胱 尿流动力学检查 尿控 重建技术 

分 类 号：R694[医药卫生—泌尿科学]