摘要
１９９１年５月～１９９４年１２月行胃代替膀胱术２４例。其中膀胱移行细胞癌２１例，结核性膀胱挛缩２例，膀胱平滑肌肉瘤１例。肿瘤患者行全膀胱切除术，１９例行胃膀胱成形术，３例行可控性低压胃膀胱术。结核性膀胱挛缩２例行胃扩大膀胱术。随访４～３９个月，３例死于肿瘤转移，２１例饮食健康良好，恢复工作。１８例经尿道排尿，每２４小时５～１０次，每次尿量３５０～８００ｍ１，剩余尿０～３０ｍ１，２例超过５０ｍｌ。肾功能、血液化学检验正常，尿ｐＨ值４．８～６。对胃代膀胱的优缺点、手术操作方法及改进等进行了讨论。
From 1991 to 1994,gastrocystoplasty has been carried out for 24 patients,of which 21 were transitional cell carcinonia of bladder.1 leiomyosarcoma of bladder and 2 contracted tuberculous bladder.All the 22 malignant bladde tumor patients underwent total cystectomy,gastrocytoplasty being then performed for 19 and low pressure continent stomach-bladder for the other 3.For the 2 contracted tuberculous bladder,augmentation of the latter was achieved by means of gastrocystoplasty.The patients have been followed up for 4-39 months.3 patients died of tumor metastasis 14-26 months after surgical intervention.All the other 21have been in good condition and back to work.18 patients void transurethrally.5 to 10 times a day and the urine per voiding amounts to 350-800ml.The residual urine has been n-30ml.exceeding 50ml in only two.The renal function and blood chemistry have been normal and the urine PH has been 4.8-6.0.The merits and shortcomings of gastrocystoplasty have been discussed and improvement of the operative technique suggested.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1995年第10期624-626,共3页
Chinese Journal of Urology
