摘要
目的探讨一种输尿管皮肤造口术新方法在全膀胱切除术后尿流改道的安全性及临床应用价值。方法回顾分析2007年9月—2011年11月于我院因膀胱癌行膀胱全切后进行一种新的输尿管皮肤造口术患者8例的临床资料,包括手术并发症、术后恢复情况、患者术后生活质量、更换造瘘管情况等。结果 8例患者手术均顺利,未出现明显的围术期并发症;随访3～38个月(平均11个月),有2例患者分别于术后6个月、24个月死于肿瘤转移,其余6例均无瘤存活。2例发生因引流不畅引起的高热,更换引流管后治愈。1例发生造口不能插入F10硅胶管,仅能够插入F7单J管,行造口切开后顺利放入F12硅胶管;其余7例均能够顺利插入F10或F12硅胶管。结论本方法较传统方法造瘘口狭窄的几率低,更换造瘘管方便,值得在临床上推广应用。
Objective To evaluate the safety and effect of a new ureterocutaneostomy through sub - cutaneous tunnel after radical cystectomy. Methods Clinical data （including operative complications, postoperative recovery and life quality and fistula replacement） of 8 patients underwent a new cutaneous ureterostomy after radical cystectomies in our hospital from Septem- ber 2007 to November 2011 were retrospectively analyzed. Results All the operations were performed successfully without obvi- ous operative complications. During the 3 to 38 months （ 11 months in average） following up, two cases died of cancer metastasis in 6 months and 24 months after operation while other cases survived without cancer. Two cases had high fever due to poor drain- age of urine and were cured after changing the tube. One case could be only inserted with F7 single J tube but could not be insert- ed with F10 silicon tube. After operation, the case was successfully inserted with F12 silicon tube. Other 7 cases could be in- serted with F10 or F12 tube. Conclusion Compared with traditional cutaneous ureterostomy, this method has lower rate of nar- row fistula and can easily change fistula, so it should be recommended in clinic.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第35期4136-4137,4139,共3页
Chinese General Practice
关键词
膀胱肿瘤
膀胱切除术
尿流改道术
输尿管皮肤造口术
Urinary bladder neoplasms
Radical eystectomy
Urinary diversion
Cutaneous ureterostomy
