膀胱全切输尿管结肠,结肠结肠吻合术

近十年来我院首先开展了膀胱全切后再将乙状结肠切断，近端乙状结肠与远端乙状结肠行端侧吻合，再将双输尿管吻合在紧缩的乙状结肠袢上。行尿流改道手术３０例，得到随访者２３例，５年以上生存１３例，除２例逆行感染治愈余者均无逆行感染，无水电解质紊乱和肛门尿失禁等。

Total Cystectomy Modified Ureterocolomic Colo-Colonic Anastomosis

n recent 10 years. a new type of operation was developed in our hospital. The sigmoid colon wastarnsected after total cystectomy,then the proximal end of the sigmoid colon was end-to-side anasto-mosed with the distal end, and sequently, both ureters were anastomosed with the tightened loop of sig-moid colon. Thirty cases had undergone urinary tract reconstruction,23 cases were followed up, amongwhich 13 cases survived more than 5 years. Follow-up study of the cases showed no retrograed infec-tion, water-electrolyte disturbance of anal urine incontinence except for 2 cases had retrogtaed infectionwho were timely cured.