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膀胱癌或其他疾病行全膀胱切除、肠道代膀胱手术中,术后经常并发切口或尿路感染。作者88年开始为手术患者术后常规应用青霉素加灭滴灵预防感染27例,无1例发生切口或盆腔的感染。临床资料:27例,男23例,女4例;年龄41～70岁,平均55.8岁。临床及病理诊断:膀胱癌25例,神经原性膀胱合并双肾、输尿管积水1例,膀胱阴道瘘台并返流性肾病1例。术式:均为全膀胱切除。①经尿道自控回肠代膀胱术13例;②输尿管乙状结肠吻合术6例;③回肠膀胱术8例。对照组29例,
Bladder cancer or other diseases underwent total cystectomy, intestinal replacement bladder surgery, often complicated by incision or urinary tract infection. The authors began routine surgery in patients with penicillin plus metronidazole in 27 cases of prevention of infection in 27 cases, no case of incision or pelvic infection. Clinical data: 27 cases, 23 males and 4 females; aged 41 to 70 years, mean 55.8 years old. Clinical and pathological diagnosis: Bladder cancer in 25 cases, neurogenic bladder with renal, ureteral hydronephrosis in 1 case, vesico-vaginal fistula and reflux kidney disease in 1 case. Procedures: All cystectomy. ① transurethral self-controlled ileal neobladder in 13 cases; ② ureteral sigmoid anastomosis in 6 cases; ③ ileal blast surgery in 8 cases. Control group, 29 cases,