介绍膀胱全切,回肠代膀胱的手术治疗情况。自1991-1996年,我们行回肠膀胱术(Bricker)15例,其中膀胱癌行膀胱部分切除术后复发者8例外,多发性膀胱乳头状癌4例,膀胱癌浸润深肌层者2例,结核性挛缩小膀胱1例。术后全部随访。我们认为,回肠膀胱术(Bricker)远期疗效好,术后没有高氯性酸中毒,很少有逆行性感染,且肾功能不受影响。 Introduction of the whole bladder, ileal surgery on behalf of the bladder. From 1991 to 1996, we performed 15 cases of Bricker, including 8 cases of bladder cancer recurrence after partial partial resection of the bladder, 4 cases of multiple papillary carcinoma of the bladder and 2 cases of deep myometrial invasion of bladder cancer, Tuberculous contracture in 1 case of small bladder. All patients were followed up. We believe that the long-term benefit of Bricker is that there is no hyperchloremic acidosis after surgery, few retrograde infections, and no compromise in kidney function.