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采用腹膜后输尿管回肠吻合法作腹膜外回肠膀胱术15例,其中膀胱肿瘤病理分期 T_1期1例,T_2期6例,T_3期8例。多发性复发性膀胱肿瘤已接受过经尿道膀胱肿瘤电切术(TUR-BT)或膀胱部分切除术者10例(10/15)。结果认为:用腹膜后输尿管回肠吻合法将回肠段放置于腹膜后,保留了腹膜外回肠膀胱术的优点,特别适用于有膀胱部分切除或输尿管膀胱移植手术史,盆腔粘连较甚,输尿管截取较短的患者。在输尿管跨过髂血管水平处截断输尿管,即能满足吻合之需。回肠膀胱造瘘口处术后即佩带腰侧集尿器,避免了尿液对伤口的污染,有利切口的一期愈口,降低了术后护理强度和费用。
Retroperitoneal ureteral ileal anastomosis was used to make extraperitoneal ileal bladder surgery in 15 cases. There were 1 case of T 1 stage, 6 cases of T 2 stage and 8 cases of T 3 stage in bladder cancer. Multiple recurrent bladder tumors have undergone transurethral resection of the bladder tumor (TUR-BT) or partial bladder resection in 10 cases (10/15). The results showed that: the retroperitoneal ureteral ileal anastomosis will be placed in the retroperitoneal ileum, retained the advantages of extraperitoneal ileal bladder surgery, especially for a partial resection of the bladder or ureteral bladder transplants, pelvic adhesions, ureteral interception Short patient. Transurethral iliac vessels in the ureter at the level of truncated ureter, that can meet the needs of anastomosis. Ileal bladder stoma fistula surgery that is to wear a waist-side urine collection, to avoid the urine of the wound pollution, favorable incision of a more mouth, reducing postoperative care intensity and cost.