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目的 探讨膀胱癌患者膀胱全切除术后的贮尿和排尿问题。方法 对 3例膀胱全切除患者 2例采用 Indiana膀胱成形术, 1例采用去带盲结肠膀胱成形术。结果 贮尿容量大,压力低,可控性能好。术后观察 6~ 18个月,达到了可控性尿流改道的要求。结论 可控性回结肠代膀胱术是一种较为理想的尿流改道方法,具有较好的应用价值。
Objective To investigate the urinary storage and urination problems after bladder resection in patients with bladder cancer. Methods Two patients undergoing total cystectomy were treated with Indiana cystoplasty and one with blind cystoplasty. The results of urine storage capacity, low pressure, controllable performance is good. Postoperative observation of 6 to 18 months, reached a controllable urinary diversion requirements. Conclusion Controlled ileostomy is an ideal method of urinary diversion and has good application value.