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目的探讨经脐造口缩窄末段回肠式去带盲升结肠可控膀胱术的手术方法和临床疗效。方法对12例膀胱癌患者行膀胱全切术后,应用缩窄末段回肠做可控输出道,去带盲升结肠做贮尿囊的代膀胱重建术。结果12例均获随访。患者控尿好,无尿失禁或插管困难。术后半年贮尿囊容量达250~350ml,1年后达500~650ml。定期影像学检查及实验室检查均正常。病人自我感觉良好。结论缩窄末段回肠式去带盲升结肠可控膀胱术具有容量大、内压低、可控性好、并发症少等优点,易于病人接受。
Objective To investigate the operative methods and clinical efficacy of the controllable intra-ileal deltoid ascending colon-controlled bladder surgery through the narrowing of the umbilical cesarean section. Methods 12 cases of bladder cancer patients underwent total cystectomy, the application of narrowing the distal ileum as controllable output tract, to go with the ascending colon as the storage of bladder replacement on behalf of the bladder reconstruction. Results 12 cases were followed up. Patients with good urine control, urinary incontinence or intubation difficulties. Six months after storage of storage capacity of 250 ~ 350ml, 1 year after up to 500 ~ 650ml. Regular imaging examination and laboratory tests are normal. The patient feels good about himself. Conclusions Narrowing of the distal ileal goiter with blind ascending colon controllable bladder surgery has the advantages of large capacity, low internal pressure, good controllability, fewer complications and is easy for patients to accept.