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膀胱癌在施行膀胱全切除术后,目前国内外最常采用的尿流改道手术,如回肠(或结肠)膀胱术(Bricker氏手术)、直肠膀胱术(Lowsley Johnson氏手术)。虽各有其一定优点,但这类手术的最大缺点是不能保持生理的排尿功能,给病人生活上带来很多不便,甚至因而拒绝接受膀胱癌的及时手术,延误了病期。我院自1965年以来,对膀胱癌病人膀胱全切后有选择地施行了乙状结肠代膀胱术(即输尿管—乙状结肠段—尿道吻合术)共7例,并进行了随诊观察,现结合体会作一简要报导。
Bladder cancer is the most commonly used urinary diversion surgery in the world after total bladder resection, such as Bricker’s surgery, Lethley’s surgery. Although each has its own advantages, but the biggest drawback of such operations is not able to maintain physiological urinary function, to bring a lot of inconvenience to the patient’s life, and even refused to accept timely surgery of bladder cancer, delay the stage of disease. Since 1965 in our hospital, selective resection of the bladder for patients with bladder cancer sigmoid colon for bladder surgery (ureter - sigmoid colon - urinary tract anastomosis), a total of 7 cases, and the follow-up observation, is now combined with experience A brief report.