|
|||||
|
|
| 阑尾代后尿道及回盲、升结肠作储尿囊在正位膀胱重建术中应用 | |
| 引用本文： | 王绍勇,林海群,周春文,张建良.阑尾代后尿道及回盲、升结肠作储尿囊在正位膀胱重建术中应用[J].中国现代普通外科进展,2011,14(4):296-298. |
| 作者姓名： | 王绍勇 林海群 周春文 张建良 |
| 作者单位： | 1. 山东大学第二医院,泌尿外科,山东,济南,250033 2. 山东省肿瘤医院,放射肿瘤科,山东,济南,250017 3. 山东大学第二医院,普通外科,山东,济南,250033 |
| 基金项目： | 山东省中青年科学家基金项目 |
| 摘 要： | 目的：探讨阑尾代后尿道及回盲、升结肠作储尿囊在膀胱正位重建术中应用及其疗效。方法：2003年2月—2009年6月应用回盲肠及部分升结肠作储尿囊,以阑尾根部与后尿道吻合原位排尿的方法治疗膀胱肿瘤12例,应用尿动力学方法对其近期疗效进行随访。结果：7例完全控尿,2例有尿失禁,3例有夜间尿失禁。术后6个月排尿次数白天4~6次,夜间1~2次,每次量150~400 mL。尿动力学：平均尿流率10.5 mL/s,平均膀胱初始感觉压力27 cmH2O,最大充盈压35 cmH2O,相应储尿囊容量分别为152 mL和420 mL。后尿道闭合压力为52 cmH2O,残余尿量0~65 mL。结论：阑尾代后尿道和回盲、升结肠作储尿囊正位膀胱重建术,储尿囊内压低,容量大,有可控性和原位排尿的特点。 |
| 关 键 词： | 膀胱肿瘤 回肠 盲肠 阑尾 尿道 膀胱重建 尿动力学 |
Appendix as the outlet of ileocecum-colon continent reservoir with orthotopic bladder reconstruction |
|
| WANG Shao-yong,LIN Hai-qun,ZHOU Chun-wen,ZHANG Jian-liang.Appendix as the outlet of ileocecum-colon continent reservoir with orthotopic bladder reconstruction[J].Chinese Journal of Current Advances in General Surgery,2011,14(4):296-298. | |
| Authors: | WANG Shao-yong LIN Hai-qun ZHOU Chun-wen ZHANG Jian-liang |
| Institution: | WANG Shao-yong1,LIN Hai-qun2,ZHOU Chun-wen1,ZHANG Jian-liang3 1Department of Urology,3Department of General Surgery,The Second Hospital of Shandong University(Jinan 250033,China) 2Department of Radiation Oncology,The Tumor Hospital of Shandong(Jinan 250017,China) |
| Abstract: | Objective: To evaluate the effect of the urinary reservoir constructed with ileocecum-appendix.Methods: From 2003-2009,12 cases were treated using ileocecum-appendix as the reservoir after radical cystectomy.They all accepted the urodynamics examination.Results:7/12 patients are continence completely.2 cases are incontinence.Times of uresis,4~5 times/day,1~2 times/night.The capacity is 150~400 mL.The first pressure of the reservoir is 27cmH2O,the maxmam pressure is 35cmH2O.The average capacity is 265~450mL,... |
| Keywords: | Bladder neoplasms·Ileum·Cecum·Appendix·Bladder reconstruction·Urodynamics |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |