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改良Indiana膀胱术(附5例报告)

Modified Indiana pouch(Report of 5 cases)

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【作者】 叶章群余虓杨为民胡志全王少刚曾晓勇章慧平曾令启商学军杨奕

【Author】 YE Zhangqun 1 YU Xiao 1 YANG Weimin 1 HU Zhiquan 1 WANG Shaogang 1 ZENG Xiaoyong 1 ZHANG Huipin 1 ZENG Lingqi 1 SHANG Xuejun 1 YANG Yi 1 ( 1Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong

【机构】 华中科技大学同济医学院附属同济医院泌尿外科华中科技大学同济医学院附属同济医院泌尿外

【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.

【关键词】 膀胱肿瘤尿流改道Indiana膀胱
【Key words】 Bladder tumorUrinary diversionIndiana pouch
  • 【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
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