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目的 总结低张力抗返流Roux y肠代膀胱术的疗效。 方法 采用改良输尿管结肠、结肠直肠吻合术对12例膀胱癌和1例膀胱阴道瘘患者行低张力Roux y肠代膀胱术。于Roux y吻合口上方1. 5cm作抗返流瓣,输尿管与结肠行Leadbetter法吻合,去肠管化做乙状结肠储尿囊。术后观察电解质、酸碱平衡和排尿情况。 结果 随访0. 5 ~5. 0年,除2例偶有发热外,患者无肾积水,电解质和酸碱平衡正常,无尿失禁。 结论 低张力抗尿粪返流Roux y肠代膀胱术是一种创伤较小、并发症较少的肠代膀胱术。
Objective To summarize the curative effect of Roux y intestinal metaplastic bladder surgery. Methods Modified ureteral colon and colorectal anastomosis were performed on 12 cases of bladder cancer and 1 case of vesicovaginal fistula undergoing low tension Roux y intestinal metaplasia. Roux y anastomosis above 1. 5cm anti-reflux flap, ureter and Leadbetter colon anastomosis, to do the bowel sigmoid storage of allantoic. Postoperative electrolyte, acid-base balance and urination. Results The follow-up ranged from 0.5 to 5.0 years. Except 2 cases of occasional fever, the patients had no hydronephrosis, normal electrolyte and acid-base balance and no incontinence. Conclusions Low-tension anti-urinary excrement Roux y intestinal metaplasia is a less invasive procedure with less complications.