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目的:评价回肠代膀胱术与改良MainzⅡ式尿流改道术的临床疗效。方法:对64例膀胱全切术后采用回肠代膀胱术与改良MainzⅡ式尿流改道术,术后对患者控尿,贮尿囊容积、内压,影像学及血生化资料进行比较。结果:回肠代膀胱组49例患者,术后白天控尿良好者44例,夜间控尿良好者42例,容量300-460ml。充盈压12-18cm H_2O。改良MainzⅡ式组15例患者术后白天控尿良好者15例,容量310-500ml。充盈压13-16cmH_2O。结论:两种术式术后疗效均良好。回肠代膀胱生活质量更高,值得优先采用。
Objective: To evaluate the clinical efficacy of ileal neobladder versus modified Mainz Ⅱ urinary diversion. Methods: Sixty - four cases of total bladder resection were performed with ileal neobladder and modified Mainz Ⅱ urinary diversion. The patients’ urine control, storage volume, internal pressure, imaging and blood biochemical data were compared after operation. Results: In the ileal neobladder group, 49 patients had good control of urine during the day after operation, 42 patients had good urine control during nighttime, and the volume was 300-460ml. Filling pressure 12-18cm H_2O. 15 cases of modified Mainz type group had good control of urine during the day in 15 cases with a capacity of 310-500ml. Filling pressure 13-16cmH_2O. Conclusion: The two kinds of operation have good curative effect. Ileum on behalf of the higher quality of life of the bladder, it is worth priority.