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改良去带盲结肠可控膀胱术

Modified detinia cecal-ascending colon continent urinary reservoir

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【作者】 郑哲明刘建民关超李庆文朱永献耿和周文生狄金明张青川常睿

【Author】 ZHENG Zheming 1 LIU Jianmin 1 GUAN Chao 1 LI Qingwen 1 ZHU Yongxian 1 GENG He 1 ZHOU Weisheng 1 DI Jinming 1 ZHANG Qingchuan 1 CHANG Rui 1 ( 1Department of Urology, Affiliated Hospital of Bengbu Medical College,

【机构】 蚌埠医学院附属医院泌尿外科蚌埠医学院附

【摘要】 目的 :评价改良去带盲结肠可控膀胱术的临床价值。方法 :对 8例膀胱癌患者施行全膀胱切除和改良去带盲结肠可控膀胱术。结果 :随访 3~ 41个月 ,均获得良好的疗效。贮尿囊容量为 2 6 0~ 70 0ml,贮尿囊内最大压力为 0 .981~ 2 .940kPa ,每 3~ 6h导尿 1次 ,血清电解质和肾功能正常。结论 :本术式可以获得大容量、低内压的贮尿囊 ,具有可控效果好、操作简单和并发症少等优点。

【Abstract】 Purpose:To evaluate the clinical value of the modified detinia cecal-ascending colon continent urinary reservoir.Method:Radical cystectomy and modified detinia cecal-ascending colon continent urinary reservoir were performed in 8 cases with bladder carcinoma.Results:The patients had been followed up for 3 to 41 months. Reliable continence had been achieved in all cases. Capacities of the reservoir were 260 ml to 700ml and maximum pressures of the reservoir were 0.981~ 2.940 kPa. Self-catherization was carried out every 3 to 6 hours. Serum electrolytes and renal functions were normal.Conclusion:This procedure could achieve a large volume reservoir of low intrareservoir pressure and had the advantage of simple and easy techniques with reliable continence and minimal complication.

【关键词】 膀胱肿瘤可控膀胱术
【Key words】 Bladder neoplasmContinent urinary reservoir
  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinaical Urology , 编辑部邮箱 ,2002年07期
  • 【分类号】R737.14
  • 【被引频次】1
  • 【下载频次】23
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