摘要
目的评估乙状结肠原位新膀胱术的临床疗效。方法回顾性研究113例乙状结肠原位新膀胱术患者的临床资料,包括临床、生化、影像和尿流动力学等资料,患者术后随访3～84个月。结果平均手术时间(4.2±0.9)h,失血量(252±124)ml,26例(23%)患者出现尿潴留,储尿囊容量达(482±54)ml,日间可控和夜间可控率分别达到90.5%和78.6%,残余尿量约50ml。结论根治性膀胱全切后行乙状结肠原位新膀胱术,疗效满意。
Objective To determine the clinic results of sigmoid orthotopic neobladder for bladder neoplasms.Methods We retrospectively researched the clinic data of 113 cases who had underwent sigmoid orthotopic neobladder.The period of follow-up was from 3 to 84 months.Evaluations included clinic,biochemical,radiological and urodynamic data.Results The mean time of surgery was（4.2±0.9） h,and the mean blood loss was（252±124） ml.At least 26（23%） cases had urinary retention.Mean maximal capacity of the reservoir was（482±54） ml after 2 years follow-up.Day-time and night-time continence were achieved in 90.5% and 78.6% respectively.Postvoid residual volume were only 50 ml.Conclusions The sigmoid orthotopic neobladder is one of the best options for urine diverting after radical cystectomy.
出处
《现代泌尿生殖肿瘤杂志》
2010年第4期207-210,共4页
Journal of Contemporary Urologic and Reproductive Oncology
基金
云南省科技厅高层次人才培引工程经费资助项目(200807015)
