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目的 评价去带可控盲升结肠膀胱术的应用价值。 方法 对１５ 头猪去带盲升结肠膀胱术动物实验模型及２３ 例膀胱癌患者去带可控盲升结肠膀胱术进行尿动力学测定，观察贮尿囊容量、内压及输出道压参数。 结果 动物实验结果显示切断结肠带后贮尿囊内压降低，容量、长度及周径均增加。２３ 例患者术后均获得了良好的可控，３ 个月贮尿囊容量可达４００ｍｌ。１３ 例术后（１９．２±８．９）个月尿动力学显示贮尿囊最大容量为（６９７ ±２０４）ｍｌ，最大充盈压为（５８ ．７ ±２４．５）ｃｍＨ２Ｏ，输出道最大闭合压为（１０４ ．３±３３ ．８）ｃｍＨ２Ｏ。 结论 该术式可以获得大容量、低内压的贮尿囊，具有操作简单、可控效果好、节省肠袢等优点。
Objective To evaluate the value of controlled blind ascending colonic bladder surgery. Methods 15 pigs with blind ascending colon and bladder surgery animal models and 23 cases of bladder cancer patients with controlled blind ascending colon and bladder surgery for urodynamic determination of storage capacity, pressure and output pressure parameters. Results The results of animal experiments showed that the internal pressure of the storage vessel decreased, the capacity, length and circumference increased after the colon strips were cut off. Twenty-three patients were well controlled postoperatively, with a 3-month storage capacity of 400 ml. Thirteen patients (19.2 ± 8.9) months urodynamics showed that the maximal storage capacity was (697 ± 204) ml and the maximum filling pressure was (58.7 ± 24.5) cmH2O, with the largest output channel Closing pressure was (104.3 ± 33.8) cmH2O. Conclusion The procedure can obtain large capacity, low internal pressure of the storage of urine, with simple operation, good control effect, saving bowel and so on.