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浙医一院于1958～1981年为102例膀胱肿瘤病例施行了全膀胱切除,并分别采用输尿管腹壁皮肤移植术(45例)、回肠膀胱术(41例)、直肠膀胱术(12例)和乙状结肠膀胱术(4例)以改道尿流。手术(住院)死亡率5.9%。83例(81.1%)随访表明:5年、10年和15年的手术生存率分别为41.3%、27.3%和16.7%。文中报告了各种尿流改道术的手术效果和手术并发症,分析了死亡原因,讨论了全膀胱切除术的切除范围和手术极限。认为盆腔少数淋
In 1958-1981, the First Affiliated Hospital of Zhejiang Medical University performed total cystectomy for 102 cases of bladder cancer and was treated with ureteric abdominal skin grafting (45 cases), ileal bladder surgery (41 cases), rectal bladder surgery (12 cases) and Sigmoid colon surgery (4 cases) to divert urinary flow. Surgery (hospital) mortality rate of 5.9%. Follow-up in 83 cases (81.1%) showed that the 5-year, 10-year and 15-year survival rates were 41.3%, 27.3% and 16.7%, respectively. The article reported the surgical effects and surgical complications of various urinary diversions, analyzed the causes of death, and discussed the total cystectomy resection and surgical limitations. That a small number of pelvic shower