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为探讨膀胱疾病患者尿流改道的较好方法,对9例侵犯膀胱颈的浸润性膀胱癌患者于膀胱、前列腺及后尿道全切除后行改良Modelski膀胱术。随访2~60个月,疗效满意,患者排尿排便基本得到控制。认为此术式改进厂设计和吻合方法,代膀胱抗返流效果好,克服了传统的输尿管乙状结肠吻合术的逆行感染等许多缺点,手术比较简单,是尿流改道的较好方法。
In order to investigate the better method of urinary diversion in patients with bladder diseases, nine cases of invasive bladder cancer invading the bladder neck were treated with modified Modelski cystectomy after complete removal of the bladder, prostate, and posterior urethra. After 2 to 60 months of follow-up, satisfactory results were achieved and the patient’s urination and defecation was basically controlled. It is believed that this method can improve the plant design and anastomosis method, and it has good anti-reflux effect on behalf of the bladder. It overcomes many of the shortcomings of traditional ureteric sigmoid anastomosis such as retrograde infection. The operation is relatively simple and is a better method for urinary diversion.