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对4例根治性全膀胱切除术后患者应用右半结肠结肠带切断建立低压贮尿囊、原位阑尾作输出道的术式进行治疗,结果贮尿囊容量大,压力低,可控性能好,术后随访观察,基本上达到了可控性尿流改道的要求。并分析了输尿管抗反流方法的选择,认为贮尿囊粘膜下隧道式吻合优于回盲部内翻乳头缝合的方法,节省了手术时间,减少了术中出血。
In 4 cases of radical cystectomy, the right colon of the colon was cut off to establish a low-pressure storage bladder and the appendix was used as an output duct. The results showed that the storage bladder has the advantages of large volume, low pressure and good controllability , Follow-up postoperative observation, basically reached the control of urinary diversion requirements. And the choice of ureteral antireflux method was analyzed. It is concluded that the submucosal tunneling anastomosis is better than the method of inverted nipple suturing, which saves the operation time and reduces the intraoperative bleeding.