论文部分内容阅读
可控性回肠膀胱术是一种新型的回肠膀胱术。其优点正如本文例1随访1年的来信中所述：“……生活尚方便，每天自行插管放尿数次，每次放尿200～400ml不等，夜间一般不起来放尿，腹壁的造口也不会溢尿”。在基层医院能完成这样大的手术，而且效果满意，这是可喜的。目前我省开展此项手术的单位计有重庆医科大学附一院5例、达县地区医院3例和第三军医大学附一院2例。据各个医院综合的意见，认为这一手术比较大，创伤也较大，回肠段用来代膀胱者长达70～80cm，一些病例仍不免要引起电解质紊乱。选择这一手木务须慎重，尤其是老年或全身情况较差的患者，手术适应症要掌握紧些，以减少手术死亡率。至于这一手术的远期效果，尚须进一步随访观察。
Controlled ileal bladder surgery is a novel ileal bladder surgery. Its advantages as described in this letter 1 follow-up 1 year letter: “... life is still convenient, every day to intubation catheterization several times each time to put urine ranging from 200 ~ 400ml, the night is generally not up to the urine, abdominal wall stoma also Will not overflowing urine. ” It is gratifying to be able to complete such a large operation at the grass-roots level with satisfactory results. At present, there are 5 affiliated hospitals in Chongqing Medical University, 3 hospitals in Daxian District and 2 hospitals attached to the Third Military Medical University in Chongqing. According to the hospital’s comprehensive opinion, that the surgery is relatively large, trauma is also larger, the ileum segment used to replace the bladder as long as 70 ~ 80cm, some cases still inevitably lead to electrolyte imbalance. Care should be taken to choose this hand, especially in the elderly or the general poor condition, surgical indications should be tight, in order to reduce the surgical mortality. The long-term effect of this operation, the need for further follow-up observation.