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1.本文介绍我院自1960年至1972年采用直肠代膀胱及乙状结肠会阴造口术,治疗Ⅱ期膀胱癌35例的治疗过程及随访结果。2.直肠代膀胱及乙状结肠腹壁造口术是一个简单、安全、并发症较少的治疗方法。但当病员不能接受这种手术时,直肠代膀胱及乙状结肠会阴造口术也是一个比较可取的方法。为了提高治疗效果,预防并发症,应注意手术各个细节,注意预防膀胱切除后残腔的感染,保证乙状结肠断端的血运,防止输尿管直肠吻合口狭窄和回流,力求保存大、小便的控制能力。3.遇有静脉肾盂造影一侧肾脏不显影时,应设法进一步弄清情况,作相应处理。如病员身体过于肥胖,或估计输尿管周围有严重粘连,在考虑手术治疗的方案时,应格外慎重。
1. This article describes our hospital from 1960 to 1972 with the rectum on behalf of the bladder and sigmoid colon perineal ostomy for the treatment of 35 cases of stage Ⅱ bladder cancer treatment and follow-up results. 2. Rectal behalf of the bladder and sigmoid colon abdominal wall ostomy is a simple, safe, less complications of treatment. However, when the patient can not accept this operation, the rectal bladder and sigmoid colon perineal ostomy is also a more desirable method. In order to improve the therapeutic effect and prevent complications, we should pay attention to the details of the operation, pay attention to the prevention of residual cavity infection after cystectomy, ensure the blood supply of sigmoid colon stump, prevent stenosis and reflux of ureteral rectal anastomosis, . 3. In case of renal pyelography on one side of the kidney is not developing, should try to further clarify the situation, make the appropriate treatment. If the patient’s body is too obese, or estimated to have serious adhesions around the ureter, consider the surgical treatment of the program, it should be extra careful.