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为探讨可控回肠袋代膀胱术的远期效果,对1988年10月~1996年12月收治的40例病人进行随访分析。随访12~96个月。结果:白天完全自控排尿40例(100%),夜间完全自控排尿34例(85%)。偶有遗尿4例,需垫尿垫2例(5%),输尿管返流2例(5%),代谢性酸中毒2例(5%),无再手术和手术死亡病例。认为可控回肠袋代膀胱术具有手术成功率高,可控性好,远期并发症少的优点,是尿路改道的较理想术式
To investigate the long-term effect of controlled ileal pocket bladder replacement surgery, 40 patients who were treated from October 1988 to December 1996 were followed up. Follow-up 12 to 96 months. Results: There were 40 patients (100%) with full control of urination during the day and 34 patients (85%) with full control of urination at night. There were 4 cases of occasional enuresis, 2 cases requiring padding pad (5%), 2 cases of ureteral reflux (5%) and 2 cases of metabolic acidosis (5%). There were no cases of re-operation or surgical death. Controlled ileal pocket bladder surgery has the advantages of high success rate, good controllability and less long-term complications. It is an ideal surgical method for urinary diversion