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自1988年3月至1990年12月采用回盲肠与相连的阑尾和部分升结肠行膀胱尿道重建术,治疗31例膀胱癌患者,经术后观察和一年以上随访,证实了此手术的可行性。重建膀胱容量大,能控制尿液不外溢,排尿机能好,无水电解质紊乱,无输尿管返流与肾盂感染,因此改善并保护了肾功能,并使病人恢复近乎正常的排尿功能,免除了以往重建膀胱需佩带尿袋或插管排尿的痛苦,为全膀胱切除术,膀胱尿道重建开辟了一个新途径,是一个有推广价值的新手术。
From March 1988 to December 1990, bladder urethral reconstructive surgery was performed using the ileocecal and connected appendix and part of the ascending colon. 31 patients with bladder cancer were treated. After observation and more than one year of follow-up, it was confirmed that this procedure was feasible. Sex. Reconstruction of large bladder capacity, ability to control urine non-spill, good urinary function, no electrolyte imbalance, no ureteral reflux, and renal pelvis infection, thus improving and protecting renal function and restoring the patient’s near-normal voiding function Reconstruction of the bladder requires wearing a urine bag or intubation to urinate, creating a new approach for cystectomy and vesicourethral reconstructive surgery. It is a new surgical procedure worth promoting.