节点文献
改良Indiana膀胱术(附5例报告)
Modified Indiana pouch(Report of 5 cases)
【摘要】 目的 :探讨改良Indiana膀胱术的适应证、手术方法并对疗效进行评估。方法 :对 5例膀胱癌患者施行全膀胱切除加改良Indiana膀胱术。结果 :5例患者均获得满意的疗效 ,自行导尿顺利。随访 6~ 30个月 ,均尿控满意 ,排尿次数 5~ 6次 /昼 ,1~ 3次 /夜。其中 4例行造影 ,新膀胱呈球形 ,容量 40 0~ 5 0 0ml,无输尿管尿液反流。结论 :改良Indiana膀胱术具有操作容易 ,贮尿囊低压容量大 ,抗返流机制可靠 ,尿控满意 ,并发症少的优点 ,值得在临床推广
【Abstract】 Purpose:To investigate the indications, operation techniques and clinical effects of modified Indiana pouch.Method: A modified technique of Indiana pouch has been performed in 5 patients following radical cystectomy.Result: 5 cases showed satisfying therapeutic effects with follow-up range between 6 to 30 months. All patients have urinary continence with easy catherization. The number of micturations are 5 to 6 times in the day and 1 to 3 times in the night. New-cystography of 4 cases showed that pouches were spheroidic and volume were between 400 to 500 ml.Conclusion: The advantages of modified Indiana pouch are as follows: easily handling, both low tension and high volume in pouches, no urine reflux, satisfying urinary continence and a few complications. Therefore, it is worthy of popularization.
- 【文献出处】 临床泌尿外科杂志 ,Journal of Clinaical Urology , 编辑部邮箱 ,2002年09期
- 【分类号】R737.14
- 【被引频次】1
- 【下载频次】50