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目的对可控性回结肠膀胱术的远期疗效进行评价。方法对23例回结肠膀胱术术后患者的可控性尿动力学、血清电解质、肾功能等进行随访观察。结果23例随访4～126个月,平均59个月。白天可控率为100%,夜间可控率96%。贮尿囊容量350～640ml,平均560ml,贮尿囊内压力9.30～32.08cmH2O(1cmH2O=0.098kPa),平均19.20cmH2O。B超、静脉肾盂造影(IVP)及贮尿囊造影显示:单侧输尿管狭窄并肾积水1例。贮尿囊结石2例。血清电解质及肾功能正常。结论可控性回结肠膀胱术远期疗效可靠、并发症少,是一种较理想的尿路分流术式。
Objective To evaluate the long-term efficacy of controllable ileocecal bladder surgery. Methods The controllable urodynamics, serum electrolytes and renal function of 23 patients with ileal colon and bladder surgery were followed up. Results 23 cases were followed up for 4 to 126 months with an average of 59 months. Controllable rate was 100% during the day and 96% at night. Storage capacity of urine allantoic chamber 350 ~ 640ml, an average of 560ml, pressure within the storage of urine 9.30 ~ 32.08cmH2O (1cmH2O = 0.098kPa), an average of 19.20cmH2O. B ultrasound, intravenous pyelography (IVP) and storage keratography showed: unilateral ureteral stricture and hydronephrosis in 1 case. Stomatitis in 2 cases. Serum electrolytes and normal renal function. Conclusion Controlled ileocolic bladder surgery has long-term curative effect and less complications, which is an ideal urinary shunt.