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患者,男,48岁。因左肾结核,挛缩性膀胱行左肾切除,严重尿频1年入院。体查:一般情况可,慢性病容。心肺正常。实验室检查:血生化正常,血红蛋白93g/L。尿常规,白细胞2～5个,红细胞++。血沉2mm/h。肝功能、胸透和心电图均正常。IVP示右肾盂肾盏明显积水。逆行膀胱造影:膀胱为3cm×2cm大小,右输尿管逆流。继续抗结核治疗。在硬膜外麻下行盲肠膀胱成形术。术中见膀胱小如鸡蛋,分离后切除膀胱顶部,形成一个3cm×3cm开口。游离末段回肠和右半结肠,距盲肠顶端12cm处横断升结肠,距回盲部11cm横断回肠,保留好血供。把回肠的近侧端和升结肠的运侧端行端端吻合,恢复肠管的连续性。切除阑尾。右输尿管下段
Patient, male, 48 years old. Due to left renal tuberculosis, contracture bladder left kidney resection, severe urinary frequency 1 year admission. Physical examination: the general situation can be, chronic disease. Cardiopulmonary normal. Laboratory tests: normal blood biochemistry, hemoglobin 93g / L. Urine routine, white blood cells 2 to 5, red blood cells ++. ESR 2mm / h. Liver function, chest X-ray and ECG were normal. IVP showed right renal pelvis calyceal obvious hydrops. Retrograde cystography: bladder size of 3cm × 2cm, right ureteral reflux. Continue anti-TB treatment. In the epidural anesthesia cecal bladder surgery. Surgery, see the small bladder as eggs, after resection of the top of the bladder removed to form a 3cm × 3cm openings. Free distal ileum and right colon, 12cm away from the top of the cecum cross ascending colon, 11cm away from the ileocecal ileus, retain good blood supply. The proximal ileum and ascending colon of the lateral side of the end of the anastomosis to restore the continuity of the intestine. Cut the appendix. Lower right ureter