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目的探讨保留性功能的膀胱切除,去带乙状结肠原位储尿囊的可行性。方法对浸润性膀胱癌行保留性神经的根治性切除,取带系膜乙状结肠20～25cm,剔除结肠带,扩大肠腔成储尿囊,按Leadbetter法吻合输尿管乙状结肠储尿囊,4针法吻合乙状结肠储尿囊后尿道。结果去带乙状结肠储尿囊术后经鸟岛自然排尿,尿量200mL,最大尿流率>20mL/s,剩余尿<30mL。书后性功能保留。结论去带乙状结肠原位膀胱术术后可自尿道排尿,手术操作相对简单,手术并发症少,保留性功能,生活质量高。
Objective To investigate the feasibility of cystectomy with preserving function and to remove sigmoid colon in situ. Methods The patients with invasive bladder cancer were treated with radical nerve resection. The mesangial sigmoid colon was removed 20 ~ 25cm. The colon strips were removed and the intestine was taken as storage and storage of urine. The ureter was reconstructed by Leadbetter method. The 4 - Posterior urethra of the sigmoid colon. Results To go with sigmoid colostomy natural urination via Bird Island, urine output 200mL, the maximum flow rate of> 20mL / s, the remaining urine <30mL. Book after the retention of sexual function. CONCLUSIONS: Orthopedic urinary incontinence with sigmoid colon debridement may be relatively easy to operate, with fewer complications, retention and high quality of life.