摘要
目的 评价可控性回结肠膀胱术的远期疗效。 方法 对 2 0例回结肠膀胱术术后病人的可控性、尿动力学、血清电解质、肾功能等进行随访观察。 结果 2 0例随访 6～ 1 1 8个月 ,平均6 2个月。白天可控率 1 0 0 % ,夜间可控率 95 %。贮尿囊容量 380～ 6 6 0ml,平均 5 80ml。贮尿囊内压力9.1 9～ 31 .6 0cmH2 O(1 0mmH2 O =0 .98kPa) ,平均 1 8.97cmH2 O。B超、IVU及贮尿囊造影示 :单侧输尿管狭窄并肾积水 1例 ,经再手术治愈 ,无输尿管返流。血清电解质及肾功能正常。 结论 可控性回结肠膀胱术远期疗效可靠 ,并发症少 ,是一种较理想的尿路分流术式。
Objective To assess the long term effeicacy of the Indiana pouch. Methods The continence status,urodynamics,serum electrolyte and renal function were followed up for 20 patients. Results Good continence has been achieved during day time in all (100%) and at night in 95%.The patients have been follow up for a mean of 62 months (6～118 months). The mean capacity of the pouch was 580ml(380～660ml) and the mean filling pressure of the pouch was 18.97cmH 2O(9.19～ 31.60 cmH 2O). Unilateral ureter stenosis and hydronephrosis was found in one patient requiring reoperation.There has been no evidence of ureteral reflux and impairment of renal function and serum electrlytes have been normal in all. Conclusions Indiana pouch is fairly good for urinary diversion with minimal complications and is highly recommended.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第3期162-164,共3页
Chinese Journal of Urology
关键词
膀胱肿瘤
尿路分流术
外科手术
Bladder neoplasms Carcinoma Urinary diverssion
