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1991年11月~1994年6月为9例膀胱癌患者施行了膀胱全切除、经脐造口式可控性结肠膀胱术,即将盲升结肠30cm剖开后S形折叠重组形成贮尿囊,输尿管种植于贮尿囊后壁,利用缝合器缩窄末段8cm回肠形成抗尿失禁输出道,经脐部作平坦式腹壁造口。术后随访1~4年,经贮尿囊测压造影、静脉尿路造影等检查,效果良好。认为该术式抗尿失禁效果好,导尿顺利;贮尿囊容量适中且压力低,无明显输尿管梗阻及返流;手术方法简单,术后晚期并发症少。
From November 1991 to June 1994, 9 cases of bladder cancer patients underwent total cystectomy. The umbilical ostomy-controlled colon-and-bladder surgery was performed, Ureteral implants in the storage of the posterior wall of the stool, the use of stitches narrowing the last 8cm ileum to form anti-incontinence tract, the umbilical flat stoma. Follow-up 1 to 4 years after surgery, the storage of urine pressure manometry, intravenous urography and other tests, the effect is good. It is considered that this technique has a good anti-incontinence effect and a smooth catheterization; moderate storage capacity and low pressure, no obvious ureteral obstruction and regurgitation; simple operation method and less postoperative complications.