可控性回肠膀胱术是一种不用集尿袋而可自控的尿流改道方法。我院自1987年2月至1988年3月共施行此手术6例,并对该手术方法作了部分改进,临床效果满意,报告如下。临床资料本组6例均为男性,最大年龄65岁,最小38岁。其中膀胱癌行全膀胱切除5例,骨盆骨折后又因多次手术所致近端尿道完全闭塞1例(闭塞段长达12cm以上)。手术时间约8～10小时。建立Kock尿囊的时间约2小时。术后病情比较 Controlled ileal Bladder Surgery is a method of urinary diversion that can be controlled without the use of a urine collection bag. Our hospital from February 1987 to March 1988 were performed in 6 cases of this operation, and made some improvements to the surgical method, the clinical results were satisfactory, the report is as follows. Clinical data of 6 patients in this group are men, the oldest age of 65 years, the youngest 38 years. Including bladder cancer in 5 cases of total cystectomy, pelvic fracture due to multiple surgeries caused by proximal urethral occlusion in 1 case (occlusion of up to 12cm or more). Surgery time is about 8 to 10 hours. The time to establish Kock allantoic sac is about 2 hours. Postoperative condition comparison