论文部分内容阅读
目的探讨膀胱癌行膀胱全切原位回肠新膀胱术的临床治疗效果。方法对25例膀胱癌患者使用膀胱全切原位回肠新膀胱术治疗的临床资料进行回顾性分析。结果所有患者均顺利完成手术治疗,术后随访无复发情况,白天控尿良好的患者占94%,夜间控尿良好的占84%。排尿通畅者占21例,不畅者占4例;B超检查没有出现上尿路扩张症状,膀胱造影没有发现膀胱输尿管返流现象。结论膀胱全切原位回肠新膀胱术治疗膀胱癌疗效确切,值得临床推广。
Objective To investigate the clinical effect of bladder resection in situ ileal neo-bladder surgery. Methods The clinical data of 25 patients with bladder cancer undergoing total cystectomy in situ ileal neo-bladder surgery were analyzed retrospectively. Results All the patients were successfully treated with surgery. No recurrence was observed during the follow-up. 94% of the patients were well controlled during the day and 84% were good during the night. Urethral unobstructed accounted for 21 cases, poor cases accounted for 4 cases; B-ultrasound did not appear on the symptoms of upper urinary tract expansion, cystoscopy did not find vesicoureteral reflux phenomenon. Conclusions Bladder resection of ileal neo-bladder surgery for bladder cancer is effective and worthy of clinical promotion.