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目的探讨去带乙状结肠原位尿道新膀胱术的临床效果。方法对27例膀胱肿瘤患者采用膀胱全切除去带乙状结肠原位尿道新膀胱术。结果随访6～73个月,26例完全可控排尿,其中3例早期夜间不同程度尿失禁,血清电解质及肾功能正常,静脉肾盂造影及贮尿囊造影均无贮尿囊输尿管返流和肾积水,贮尿囊容量200～350ml,剩余尿量为≤30ml,最大尿流率﹥15ml/s;手术失败1例。结论去带乙状结肠原位尿道新膀胱具有容量大、压力低及操作简单等特点,是一种较理想的尿流改道术式。患者无明显全身营养及代谢紊乱,生活质量高。
Objective To investigate the clinical effect of sigmoid colon in situ urethral neo-bladder surgery. Methods Twenty-seven patients with bladder cancer underwent total bladder resection and sigmoid colon in situ urethral neo-bladder surgery. The results were followed up for 6 to 73 months, 26 patients were completely controlled urination, including 3 cases of early night incontinence with varying degrees of urinary incontinence, normal serum electrolytes and renal function, intravenous pyelography and storage keratoconjunctival ureter ureter reflux and kidney Water, urine storage capacity of 200 ~ 350ml, the remaining urine output ≤ 30ml, the maximum flow rate of> 15ml / s; surgery failed in 1 case. Conclusion The new bladder with sigmoid colon in situ urethra has the characteristics of large capacity, low pressure and simple operation. It is an ideal urinary diversion technique. Patients with no obvious systemic nutrition and metabolic disorders, high quality of life.