摘要
自１９９５年１０月以来，对２０例膀胱癌患者施行根治性膀胱切除后，采用多处切断结肠带的方法建成去带盲升结肠可控膀胱术进行尿流改道。随访５～２４个月，均获得良好的可控，尿动力学显示贮尿囊容量达４００～７５０ｍｌ，贮尿囊内最大压力为３０～７３ｃｍＨ２Ｏ，４～７小时导尿一次，患者血Ｋ＋、Ｎａ＋、Ｃｌ－、ＨＣＯ－３、Ｃｒ均在正常范围内。结果表明：本术式可以达到应用去管重建原理建成的可控膀胱目的，即大容量、低内压、高顺应性、高调节性，具有操作简单。
Construction of a simple continent urinary reservoir using a segment of ceacal ascending colon with multiple transverse teniamyotomy was carried out since 1995 for 20 patients with bladder cancer underwent radical cystectomy.The patients have been followed up for 5 to 24 months.Reliable continence has been achieved in all.The capacity of the reservoir has been 400ml to 750ml with a maximum pressure of 30～74cm water.Self catherizations were carried out every 4 to 7 hours.Serum sodium,potassium,chloride,creatinine and blood urea nitrogen were within normal limits in all the patients.These results indicated that the procedure would provide an adequate capacity,low pressure,high compliance and high accommodation continent urinary reservoir and the technique is simpler,easier and with less complications as compared with the detubularized techniques.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1998年第10期601-603,共3页
Chinese Journal of Urology
关键词
膀胱肿瘤
可控膀胱术
尿流改道
Bladder neoplasms Carcinoma Urinary reservoir,continent
