论文部分内容阅读
可控性回肠膀胱术是一种不用集尿袋而可自控的尿流改道方法,1975年Kock等首次采用,1984年Skiner等进行了改良,近年来国内亦有报道。1987年2月至1988年3月,我院共施行此手术6例,并对该手术方法作了部分改进,临床效果满意,报告如下。一、临床资料本组6例均为男性,年龄38～65岁。其中膀胱癌5例,骨盆骨折所致后尿道长段闭塞1例(闭塞段10cm以上)。手术时间8～10小时,建立Kock尿囊时间约2小时。术后病情比较稳定,切口均Ⅰ期愈合,自控功能良好,肠造口无溢尿现象。Kock尿囊容积大于500ml,自控插管能在4～5分钟内排
Controlled ileal Bladder Surgery is a urinary diversion method that can be controlled without using a urine bag. Kock et al. Were first adopted in 1975 and Skiner et al. Were improved in 1984 and have been reported in China in recent years. February 1987 to March 1988, our hospital implemented a total of 6 cases of this operation, and made some improvements to the surgical approach, the clinical results were satisfactory, the report is as follows. First, clinical data The group of 6 patients were male, aged 38 to 65 years. Including 5 cases of bladder cancer, urethral obstruction caused by pelvic fractures in 1 case (occlusion 10cm above). The operation time was 8 to 10 hours, and the time to establish Kock allantoicus was about 2 hours. Postoperative condition is relatively stable, the incision healed in stage I, self-controlled function is good, intestinal stoma without overflowing urine phenomenon. Kock allantoic volume greater than 500ml, controlled intubation in 4 to 5 minutes in the row