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膀胱癌膀胱全切除后,一般应用游离肠段施行各种尿流改道手术,如回肠膀胱术,直肠膀胱乙状结肠腹壁造瘘术等。这些手术因改变了尿道的排尿生理状态,给病人带来不便。本文自1984～1988年1月对5例膀胱癌患者施行了保留前列腺被膜膀胱全切乙状结肠代膀胱术,克服了上述不足。1 资料与方法1.1 临床资料 全组均为男性。年龄44～62岁。按膀胱癌移行上皮细胞分化程度分类:Ⅲ级3例,Ⅱ级2例。肿瘤组织侵及膀胱肌层或浆肌层。术前排除乙状结肠病变,并按一般结肠肿瘤术前准备进行。
Bladder cancer bladder resection, the general application of free intestinal segment of the implementation of a variety of urinary diversion surgery, such as ileal bladder surgery, rectum, bladder sigmoid abdominal fistula surgery. These operations have caused inconvenience to the patient by changing the physiological condition of the urethra to urinate. This article from 1984 to January 1988 for 5 cases of bladder cancer patients with preserved prostate capsule bladder resection of sigmoid colon for bladder surgery to overcome the above shortcomings. 1 Materials and Methods 1.1 Clinical data All groups were men. Age 44 ~ 62 years old. According to the classification of bladder transitional epithelial cell differentiation: 3 cases in grade Ⅲ and 2 cases in grade Ⅱ. Tumor invasion of the bladder muscle or muscle layer. Preoperative sigmoid colon lesions excluded, and according to the general colon tumor preoperative preparation.