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本文报告1987年8月~1993年10月为6例病人施行了膀胱癌全膀胱切除术后可控性低压回肠膀胱重建术,其中男性5例,女性1例。新建的膀胱采用40cm肠管剖开后“S”形缝合成低压储尿袋并原位与尿道吻合,输尿管末端与回肠吻合并向回肠内套叠以形成一乳头瓣起伉返流作用,本组均顺利完成手术,无1例死亡,术后随访除1例女性患者术后6个月因继发感染死亡外其余5例已随访3年~4年,所有病人白天均能自控排尿,每次尿量>300ml,排尿间隔约3小时~4小时,术后并发症有腹部尿瘘1例,切口感染1例,均于治疗后痊愈。
This article reports from August 1987 to October 1993 for 6 patients underwent a total cystectomy of bladder cancer controllable low-pressure ileum bladder reconstruction, including 5 males and 1 female. The new bladder with 40cm bowel open “S” shaped suture into a low pressure storage bag and in situ urethral anastomosis, anastomosis of the ureter and ileum to the intussusception to the ileum to form a nipple flap reflex role, this group All patients underwent successful surgery without any deaths. All the patients were followed-up except 1 female patient who died of secondary infection 6 months after surgery. The remaining 5 patients were followed up for 3 years to 4 years. All patients were able to control urination during the daytime. Urine volume> 300ml, urination interval of about 3 hours to 4 hours, postoperative complications of abdominal urinary fistula in 1 case, incision infection in 1 case, were cured after treatment.