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本文介绍了四种可控性肠膀胱术的制作技术,即Kock氏膀胱术,自行设计的改良式Kock膀胱术,印第安纳式膀胱术,经尿道可控性回肠膀胱术。对技术操作做了如下改进。(1)将两个“肠套迭乳头”改为将肠管“内凹折迭缩窄缝合术”,同样可达控制尿液返流和控制排尿作用,简化了操作,又节省肠段10厘米。(2)将“贮尿袋”缝制成球形,可增加其容量和降低“贮尿袋”内压,使之更接近正常膀胱的生理作用。(3)改进了抗尿液返流措施:输尿管断端伸入肠腔1厘米;将输尿管返折成袖口状。四例术
This article describes the four controllability of intestinal Bladder production technology, namely Kock Bladder, self-designed modified Kock Bladder, Indiana Bladder, transurethral controlled ileal Bladder. The technical operation made the following improvements. (1) the two “intussusception nipple” to the bowel “concave fold narrow suture”, also up to control the urine reflux and control urination, simplifying the operation, but also save the bowel 10 cm . (2) The “storage bag” sewn into a sphere, can increase its capacity and reduce the “storage bag” pressure, so that it is closer to the normal bladder physiological role. (3) improved anti-urine reflux measures: ureteral stump extending into the intestinal lumen 1 cm; the ureter folded back into cuffs. Four cases