【摘要】 目的：探讨理想的膀胱替代手术。方法：对 5例复发性或浸润性膀胱癌患者施行膀胱全切，回肠和乙状结肠新膀胱术，术后经 6～ 21mo随访观察。结果： 5例术后平均随诊 10mo，白天能达到完全控尿，夜间有 2例发生遗尿现象；新膀胱容量平均 350ml，残余尿平均 30ml。 IVU示仅 1条输尿管轻度扩张，无返流； 1例术后 3mo发生粘连性肠梗阻再手术；肾功能电解质均在正常范围，无酸中毒及营养障碍，均健康、无瘤生存。结论：回肠和结肠新膀胱术均具有容量适当，低压可控，正位排尿，低吸收，无返流，肾功能得到保护，是一种低并发症可以选择的手术。更多还原

【Abstract】 Objective： To study the ideal and feasible bladder substitution.Methods： Ileosigmoid neobladder was used in 5 cases of recurrent or infiltrating bladder carcinoma which were operated total cystectomy and all the cases were followed up for 6-12 months.Results： All the cases could control the urine during the daytime,but 2 cases couldn’ t control the urine during night.The mean capacity of the neobladder was 350ml,and the mean residual urine volume was only 30ml in the cases.On IVU only 1 urter in 5 cases showed slight dilation and no one appeared reflux.In addition,1 case deeded a reoperation for accompaning adhesive alvine obstruction after 3 months of operation.Furthermore,the renal function and electrolytes of the cases were normal.There were no acidosis,malnutrition and neoplasma in the cases.Coclusion： ILosigmoid neobladder may be a feasible operation technique for patients of postcystectomy with low complication rate,low absorption and no reflux.更多还原