膀胱全切原位回肠代膀胱术的临床应用

目的 观察膀胱全切原位回肠代膀胱术的临床疗效.方法 回顾性分析28例膀胱肿瘤患者行膀胱全切原位回肠代膀胱术的临床资料.结果 全部病例可完全控尿,夜间需定时排尿;膀胱最大贮尿量平均330 ml,残余尿均小于70 ml;所有患者均随访4～58个月,平均18个月,27例无瘤生存,1例肿瘤复发;并发症:有消化道应激性溃疡出血2例,粘连性不全肠梗阻和肠膀胱颈口梗阻、肠膀胱结石各l例,性功能完全丧失3例.结论 膀胱全切原位回肠代膀胱术具有膀胱容量大、内压低、正位排尿、可控性能好等优点,是一种较理想的膀胱替代术式.

Clinical application of radical cystectomy with orthotopic ileal neobladder

Objective To evaluate the clinical efficacy of radical cystectomy with orthotopic ileal neobled-der. Methods 28 cases of bladder tumor treated with radical cystectomy with ileal orthotopic neobladder were studiedretrospectively. Results All patients achieved excellent continence,whereas possessory patients needed time-lapse e-mietion at nighttime. The mean bladder capacity for the entire group was 330 ml. Residual urine was less than 70 ml.All of these patients have been followed up for 4～58 months with a mean of 18 months. They were survival with no re-currences except 1 case. Good urinary stream was reported. A little operative complications occurred. ConclusionThe operation of radical cystectomy with orthotopic ileal neobladder might be an ideal way of bladder replacement,characterized by large capacity,low pressure, orthotopie continent urination.