目的　探讨可控性回盲肠膀胱术的疗效 ,并对输出管的制作进行改进。方法　对 5例膀胱癌患者采用膀胱全切 ,可控性回盲肠膀胱术 ,利用回肠作输出道并行双重套叠缝合。术后定期复查B超、电解质 ,了解预后。结果　 5例患者术后近期并发症少 ,随访 1年～ 3年 ,回盲肠膀胱自控能力良好 ,无尿失禁 ,肾功能无损害 ,无电解质紊乱。结论　可控回盲肠膀胱术效果较为理想 Objective To explore the curative effect of controllability of ileocecal bladder surgery and to improve the manufacture of outlet tube. Methods Total bladder resection was performed in 5 cases of bladder cancer. Controlled ileocecal bladder surgery was performed. The ileum was used as output tract in parallel with double overlapping suture. Regular review of B ultrasound, electrolytes, to understand the prognosis. Results There were few short-term complications after operation. The patients were followed up for 1 to 3 years. The ileocecal bladder had good self-control ability, no urinary incontinence, no renal dysfunction and no electrolyte disturbance. Conclusion Controlled back cecum Bladder surgery is more effective