论文部分内容阅读
自１９９５年１０月以来，对２０例膀胱癌患者施行根治性膀胱切除后，采用多处切断结肠带的方法建成去带盲升结肠可控膀胱术进行尿流改道。随访５～２４个月，均获得良好的可控，尿动力学显示贮尿囊容量达４００～７５０ｍｌ，贮尿囊内最大压力为３０～７３ｃｍＨ２Ｏ，４～７小时导尿一次，患者血Ｋ＋、Ｎａ＋、Ｃｌ－、ＨＣＯ－３、Ｃｒ均在正常范围内。结果表明：本术式可以达到应用去管重建原理建成的可控膀胱目的，即大容量、低内压、高顺应性、高调节性，具有操作简单、易行及并发症少的优点
Since October 1995, 20 cases of bladder cancer patients underwent radical cystectomy, the use of multiple cut off the colon strips into the blind ascending colon controllable bladder surgery for urinary diversion. Followed up for 5 to 24 months, were well controlled, urodynamic studies showed that the storage capacity of the storage of urine reached 400 ~ 750ml, the maximum pressure in the storage of urine within 30 ~ 73cmH2O, catheterization 4 to 7 hours, blood K + Na +, Cl-, HCO-3, Cr are in the normal range. The results show that: This procedure can achieve the purpose of using a tube to build the controllable bladder reconstruction purposes, that is, large capacity, low pressure, high compliance, high regulation, with simple operation, easy and less complications