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膀胱全切后,用肠管重建膀胱,如何解决尿频、尿失禁、逆行感染、吻合口狭窄、漏尿等并发症,是目前泌尿外科专题研究之热点。自1989年,我们对9例膀胱全切病例,采取了裤衩式回肠膀胱重建术,报告如下:1 临床资料本组男7例,女2例,年龄28～66岁。二期膀胱癌3例,三期5例,巨大平滑肌瘤1例。手术平均6小时40分钟。平均住院27天。出院时平均1.5～2小时排尿一次,每次尿量200ml左右。半年后随访,一次尿量均达300～400ml。7例术后复查:经尿道行代膀胱造影,内压均达6.47kPa以上,无返流。血电解质、肾功能均正常。1例失访,1例术后半年死于其它疾病。随访最长3年,
Bladder resection, the use of intestinal reconstruction of the bladder, how to solve urinary frequency, urinary incontinence, retrograde infection, anastomotic stenosis, leakage of urine and other complications, urology is currently thematic study hot spots. Since 1989, we have 9 cases of bladder resection cases, took a patent-style ileum bladder reconstruction, the report is as follows: 1 Clinical data The group of 7 males and 2 females, aged 28 to 66 years. 2 cases of bladder cancer in 3 cases, 3 cases in 5 cases, 1 case of giant leiomyoma. Surgery average 6 hours and 40 minutes. The average hospitalization is 27 days. Discharged an average of 1.5 to 2 hours urination once, about 200ml urine output. Follow-up after six months, a urine output reached 300 ~ 400ml. 7 cases were reviewed: transurethral cystography, internal pressure reached 6.47kPa or more, no reflux. Blood electrolytes, renal function are normal. One patient lost follow-up, and one patient died of other diseases after six months. Follow up up to 3 years,