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| Roux—y乙状结肠新膀胱术 | |
| 引用本文： | 夏维木,张立,徐玉生,马春羲,陈荣剑,王健,唐崎,周文龙,王名伟,刘定益.Roux—y乙状结肠新膀胱术[J].江西医药,2009,44(5):409-410. |
| 作者姓名： | 夏维木 张立 徐玉生 马春羲 陈荣剑 王健 唐崎 周文龙 王名伟 刘定益 |
| 作者单位： | 1. 中国人民解放军第184医院泌尿外科,鹰潭,335000 2. 上海浦东新区浦南医院泌尿外科 3. 上海交通大学医学院附属瑞金医院泌尿外科 |
| 基金项目： | 中国人民解放军南京军区医学科学技术研究计划 |
| 摘 要： | 目的评价Roux-y乙状结肠新膀胱术在尿流改道中的应用疗效。方法研究分两组，Ⅰ组，22例，行Roux—y输尿管乙状结肠、乙状结肠直肠吻合术；Ⅱ组，21例，行低张力抗尿粪逆流Roux—y乙状结肠新膀胱术。结果Ⅰ组肾盂肾炎3例，肾积水2例，轻度酸中毒3例，残余尿量为0-18m，平均7．6ml，膀胱容量220～360ml，平均287ml；Ⅱ组2例偶有发热，无肾积水和酸中毒，残余尿为0ml，膀胱容量350-560ml，平均480ml。结论低张力抗尿粪逆流Roux-y乙状结肠新膀胱术是一种安全、创伤小和有效的可控尿流改道方法，提高了病人的生活质量。 |
| 关 键 词： | 尿路分流术 乙状结肠新膀胱 |
The Roux-y sigmoid neobladder |
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| Institution: | Xia Weimu, Zhang Li,Xu Yusheng,et al.(Department of urology, the 184th hospital of PLA,YingTan 335000,China) |
| Abstract: | Objective To assess the therapeutic effects of Roux-y sigmoid neobladder for urinary diversion.Methods Roux-y ureterosigmoidostomy and sigmoidorectostomy were performed in 22 cases of group 1 Low tension,anti-reflux Roux-y sigmoid neobladder were performed in 21 cases of group 2.Results For Group 1 ,three patients developed pyelonephritis,two patients developed hydroneprosis and three patients developed mild metabolic acidosis, the postvoiding resdual was 7.6ml（0- 18ml） and the cystometric capacity was 287ml（220- 360ml）.For Group 2, Besides occasional fever happened in 2 cases ,there was neither hydronephrosis nor disorder of acid-base balance, the postvoiding resdual was 0ml and the cystometric capacity was 480ml（350- 560ml）. Conclusion The low tension Roux-y sigmoid neobladder is a feasible ,safe and effective method for continent urinary diversion. It is able to provide good quality of life. |
| Keywords: | urinary diversion sigmoid neobladder |
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