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输尿管皮肤造口术是临床上常用的尿流改道术。我院自1998年1月至2008年12月对16例行膀胱全切术的病人施行了人工乳头输尿管皮肤造口术.取得了良好的效果,现总结报告如下。1资料与方法1.1一般资料本组16例。男性15例,女性1例。年龄42~62岁,平均年龄55岁。膀胱恶性肿瘤15例,其中原发肿瘤9例,复发肿瘤6例;结核性膀胱挛缩1例。1.2手术方法常规先行膀胱全切术。然后在腹膜后游离双测输尿管中下段。在骶岬前方乙状结肠系膜后方将较细的输尿管引到对侧.在距对侧输尿管口约lOem处作端侧吻合。双测输尿管内置F8号带有侧孔的支架引流管。在拟行输尿管皮肤造口一侧的腹壁相当于髂嵴上缘水平作一横S形切口。皮瓣的边长和底宽为4cm,顶边为3cm,游离
Ureteral skin ostomy is commonly used in clinical urinary diversion. Our hospital from January 1998 to December 2008 on 16 cases of total hysterectomy patients underwent artificial nipple ureter skin ostomy and achieved good results, are summarized as follows. 1 Materials and Methods 1.1 General Information The group of 16 cases. 15 males and 1 females. Age 42 ~ 62 years old, average age 55 years old. Bladder malignant tumors in 15 cases, of which 9 cases of primary tumors, recurrent tumors in 6 cases; tuberculous bladder contracture in 1 case. 1.2 surgical methods conventional first total bladder resection. Then in the retroperitoneal ureter in the lower middle double test. In the sacral promontory in front of the sigmoid mesangial will be led to the opposite side of the ureter .On the opposite side of the ureteral orifice at about lOem for end to end anastomosis. Double ureter Built-in F8 with a lateral hole in the stent drainage tube. In the proposed line of urethral stoma side of the abdominal wall is equivalent to the level of the iliac crest for a transverse S-shaped incision. Flap length and bottom width of 4cm, the top edge of 3cm, free