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以往全膀胱切除术后常用腹壁造口解决排尿问题，患者生活上有诸多不便。而理想的代膀胱是能够自主控制排尿，对肾功能及血电解质没有影响本文旨在研究最大程度地提高全膀胱切除术后患者的生活质量。方法：全膀胱切除时注意保护好尿道膜部与尿道外括约肌。用带蒂的末段回肠以“Ｗ”型整形缝合为球囊状新膀胱，安置于盆腔内，其最低位与尿道残端吻合。结果：围手术期２例患者出现新膀胱漏尿、腹膜炎，经处理后痊愈。２０例术后恢复顺利。追踪观察一年，２２例患者均能自主排尿。无尿失禁、无溢尿，排尿间隔时间３ｈ以上，每次尿量＞２００ｍＬ。术后肾功能及血电解质检查无明显改变，Ｂ超检查无肾、输尿管扩张积水。２０例男性患者术后出现阳萎。２２例患者未见残余尿道发生肿瘤。结论：本术式简便易行，膀胱容量大，压力低，自控排尿功能好，术后并发症少，是浸润性膀胱癌的一个可供选择的手术方式
In the past commonly used after cystectomy abdominal problems to solve urination problems, patients have many inconveniences in their lives. The ideal bladder replacement is the ability to control urination autonomously and has no effect on renal function and blood electrolytes. This paper aims to study ways to maximize the quality of life of patients after total cystectomy. Methods: The whole cystectomy to protect the urethra membrane and urethral sphincter. With the pedicle of the distal ileum to “W” shaped suture for the balloon-like bladder, placed in the pelvic cavity, the lowest bit consistent with the urethral stump. Results: Perioperative patients with neovascular leakage of urine and peritonitis occurred in 2 patients and recovered after treatment. Twenty patients recovered smoothly. Follow-up observation year, 22 patients were able to urinate independently. Urinary incontinence, no overflowing urine, urination interval of 3h or more, each urine output> 200mL. Postoperative renal function and blood electrolyte test no significant change, B-ultrasound without renal, ureteral dilatation and hydrops. 20 cases of male patients with impotence. Twenty-two patients had no residual urethra tumor. Conclusion: This procedure is simple and easy to operate, with large bladder capacity, low pressure, good self-control urination, less postoperative complications and is an alternative surgical method for invasive bladder cancer