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膀胱切除过去均需行尿路改道及肠管代替等手术。病人因此种手术而造成身心痛苦及生活不便,而不愿或拒绝接受。而且此种手术创伤大,手术涉及范围广。手术后并发症多,且难以避免。我院于今年初开始行膀胱切除再生术,取得近期满意效果,报告如下: 手术方法术中首先探查膀胱,看清病变的部位、范围、程度。决定作膀胱次全切除或全切除术,先行两侧输尿管插管(6-8F)并留置;若作次全切除,以3-0肠线缝合得保留之膀胱缘止血。切除三角区
Cystectomy in the past required urinary diversion and bowel replacement surgery. Because of this kind of operation, the patient causes physical and psychological pain and inconvenience of living, but does not want or refuse to accept. And such traumatic surgery, surgery involves a wide range. Postoperative complications and more difficult to avoid. Early this year, our hospital started the line of cystectomy and regenerative surgery and achieved satisfactory results in the near future. The report is as follows: Surgical methods First of all, the bladder is explored and the location, extent and extent of the lesions are observed. The decision to make subtotal or total resection of the bladder, ureter intubation on both sides (6-8F) and indwelling; if subtotal resection to 3-0 catgut suture to retain the edge of the bladder to stop bleeding. Cut off the triangle area