全膀胱切除术后不同尿流改道方式的疗效比较

[目的]探讨全膀胱切除术后三种尿流改道方式的效果.[方法]回顾性分析全膀胱切除术后尿流改道病例37例,其中回肠膀胱术14例,原位回肠代膀胱术19例,输尿管皮肤造口术4例.[结果]回肠膀胱手术组与原位回肠代膀胱手术组在手术时间、出血量方面比较,无显著差异(P>0.05),输尿管皮肤造口手术组与另外两组比较,有显著差异(P<0.05).术后1个月原位回肠代膀胱术组出现轻度肾积水4例,回肠膀胱术组出现轻度肾积水1例,术后两个月复查B超积水消失.所有病例术后随访6～18个月,患者恢复良好.无肿瘤复发.[结论]膀胱全切是膀胱多发肿瘤及浸润性膀胱肿瘤的首选治疗方法,回肠膀胱术及原位回肠代膀胱术都是尿流改道的较好选择,部分特殊病例可选择输尿管皮肤造口术.

Efficacy of Radical Cystectomy with Different Urinary Diversion(A Report of 37 Cases)

[Objective] To study the efficacy of radical cystectomy with three types of urinary diversion..[Methods]A total of 37 patients with urinary diversion after radical cystectomy,including 14 cases with Bricker operation,19 cases with orthotopic ileal neobladder,and 4 cases with ureterostomy,were analyzed retrospectively.[Results]There were no significant differences in operation time and volume of blood between Bricker operation group and orthotopic ileal neobladder group(P>0.05).And there were significant dif...