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目的 :探讨膀胱癌行膀胱全切尿流改道术的临床效果。方法 :对 76例膀胱癌患者采用膀胱全切回肠膀胱术 6 9例 ,行膀胱全切术输尿管腹膜后Y型吻合腹壁造口术 7例。结果 :随访 72例 ,随访时间 3～ 12年 ,现存活 10年以上者 15例 ,5年以上者 2 8例 ;早期并发症肾盂肾炎 8例 ,肾功能恶化 4例 ,切口感染 4例 ,腹壁造口狭窄 1例 ,输尿管吻合口瘘 1例。结论 :回肠膀胱术仍是最佳手术 ,输尿管皮肤造瘘术是对年老体弱患者的选择 ,可延长患者的生命时间 ,提高生存质量
Objective: To investigate the clinical effect of urinary bladder diversion in bladder cancer. Methods: Totally 76 bladder cancer patients underwent bladder total ileotracheal tube mastectomy and 9 cases underwent bladder total hysterectomy ureter retroperitoneal Y-anastomosis abdominal wall ostomy in 7 cases. Results: Follow-up was performed in 72 cases with a follow-up of 3 to 12 years. There were 15 survived more than 10 years and 28 cases were older than 5 years. There were 8 cases of early complications of pyelonephritis, 4 cases of renal dysfunction, 4 cases of incision infection, 1 case of narrow stoma, 1 case of ureteral anastomotic fistula. Conclusion: Ileal bladder surgery is still the best surgery. Ureterostomy is the choice of frail patients, which can prolong the life of patients and improve the quality of life