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膀胱切除后的尿液转流问题,迄今仍末完满解决.1950年Bricker首创的回肠膀胱术,一直被视为标准的尿转流手术,常规应用30多年,并使术后并发症及病死率降至最低限度。但患者需佩带尿袋,影响了生活质量,1958年Camey等将“U”形回肠管直接与膜部尿道联结,由外括约肌控制排尿(即Camey手术),并应用这一手术20余年。患者白天可自控排尿,但多有高度尿频,在夜间,由于括约肌与尿道周围肌肉张力降低,约70％患者可有尿失禁。为克服这些缺点,近十年来,人们借鉴Goodwin’s杯形缝术(肠管对系膜缘切开,交叉折叠,
Urine transfer after cystectomy has so far not been completely resolved until 1950. Bricker pioneered ileal bladder surgery, has been considered as a standard urinary diversion surgery, the routine application of more than 30 years, and postoperative complications and mortality To a minimum. However, patients should wear a urine bag, affecting the quality of life. In 1958, Camey et al. Directly connected the U-shaped ileum to the urethra of the membranous membrane and the external sphincter to control urination (ie, Camey’s surgery). The procedure was applied for more than 20 years. Patients with self-controlled urination during the day, but many have frequent urination, at night, due to sphincter and muscle tension around the urethra decreased, about 70% of patients may have urinary incontinence. In order to overcome these shortcomings, in the recent ten years, people have drawn lessons from Goodwin’s cup-shaped suture (incision, cross-folding,