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目的 :探讨改良乙状结肠直肠膀胱术的临床疗效。方法 :对 11例膀胱多发性肿瘤患者采用改良的乙状结肠直肠膀胱术式 ,折叠乙状结肠约 2 5cm后全层切开 ,缝合成低压袋 ,顶端固定于骶岬处 ,两侧输尿管末端作改良的粘膜下隧道与肠粘膜吻合 ,从低压袋上方引入再植。结果 :本组 11例患者全膀胱切除术后 ,仅一例发生右肾积水合并继发感染 ,经抗炎治疗后症状缓解 ,无一例发生尿失禁、肾功能受损、电解质紊乱。结论 :改良的乙状结肠直肠膀胱术 ,手术时间明显缩短 ,且病人无需挂袋或自家导尿 ,术后二月后大便成形 ,基本达到大小便分流 ,术后尿控满意 ,并发症少 ,可明显提高患者生活质量
Objective: To explore the clinical effect of modified sigmoid colon surgery. Methods: 11 cases of multiple bladder cancer patients with modified sigmoid colon surgery, folding sigmoid colon about 25cm after full-thickness incision, suture into a low pressure bag, fixed at the top of the sacral promontory at both ends of the ureter for improved mucosa Under the tunnel and intestinal mucosa anastomosis, introduced from the top of the low pressure bag replantation. Results: After cystectomy in 11 patients, only one case had right hydronephrosis with secondary infection. After anti-inflammatory treatment, symptoms were relieved. Urinary incontinence, impaired renal function and electrolyte imbalance occurred in all cases. Conclusions: The modified sigmoid colon and rectocele was significantly shorter in operation time, and the patient did not need to hang the bag or self catheterization. After two months after operation, the stool was formed, and the urine and urine were basically shunted. Satisfactory postoperative urinary control was achieved with fewer complications and obvious complications Improve patient quality of life