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目的 :探讨改良Indiana膀胱术的适应证、手术方法并对疗效进行评估。方法 :对 5例膀胱癌患者施行全膀胱切除加改良Indiana膀胱术。结果 :5例患者均获得满意的疗效 ,自行导尿顺利。随访 6～ 30个月 ,均尿控满意 ,排尿次数 5～ 6次 /昼 ,1～ 3次 /夜。其中 4例行造影 ,新膀胱呈球形 ,容量 40 0～ 5 0 0ml,无输尿管尿液反流。结论 :改良Indiana膀胱术具有操作容易 ,贮尿囊低压容量大 ,抗返流机制可靠 ,尿控满意 ,并发症少的优点 ,值得在临床推广
Objective: To explore the indications and surgical methods of Indiana bladder surgery and to evaluate the curative effect. Methods: Five cases of bladder cancer patients underwent total cystectomy plus modified Indiana bladder surgery. Results: All the 5 patients received satisfactory curative effect. Follow-up 6 to 30 months, are satisfied with the urine control, urination frequency 5 ~ 6 times / day, 1 ~ 3 times / night. Among them, 4 patients underwent angiography, and the new bladder was spherical with a capacity of 40 0 ~ 500 ml without ureter reflux. Conclusion: The modified Indiana Bladder Surgery has the advantages of easy operation, low storage capacity, reliable anti-reflux mechanism, satisfactory urine control and less complications, which is worthy of clinical promotion