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目的探讨全膀胱切除-原位回肠新膀胱术的临床疗效。方法膀胱癌15例,其中男13例,女2例;年龄47～69岁,平均61.5岁。均采用根治性全膀胱切除及原位回肠新膀胱术治疗。结果手术时间平均260min,术中平均出血440ml。原位回肠新膀胱控尿、排尿良好,术后静脉尿路造影、B超检查未见上尿路扩张,膀胱造影未发现输尿管反流,血生化检查正常,未发现新膀胱或尿道肿瘤复发。结论全膀胱切除-原位回肠新膀胱术是治疗浸润性膀胱癌确实有效的方法。
Objective To investigate the effect of total cystectomy-ileal neo-bladder surgery. Methods 15 cases of bladder cancer, including 13 males and 2 females; aged 47 to 69 years, mean 61.5 years. All radical cystectomy and ileal neo-bladder surgery. Results The average operation time was 260min, mean intraoperative bleeding was 440ml. In situ ileal neo-bladder control of urine, good urination, postoperative venous urography, B-ultrasound showed no upper urinary tract expansion, urinary bladder catheterization was not found, normal blood biochemical tests found no recurrence of bladder or urethral tumor. Conclusions Total cystectomy - ileal neo-neo-bladder surgery is a potent method of treating invasive bladder cancer.