| 回肠膀胱替代术(Studer术式)的近期尿控观察 |
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| 引用本文： | 陈志文,季惠翔,沈文浩,鄢俊安,李新,宋波,方强,李雪梅. 回肠膀胱替代术(Studer术式)的近期尿控观察[J]. 实用医院临床杂志, 2010, 7(2): 30-32 |
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| 作者姓名： | 陈志文 季惠翔 沈文浩 鄢俊安 李新 宋波 方强 李雪梅 |
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| 作者单位： | 第三军医大学西南医院全军泌尿外科研究所,重庆,400038 |
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| 摘 要： | 目的通过对回肠正位膀胱替代术(Studer术式)的临床观察,重点评价此术式的尿控和对上尿路的影响及可能机制。方法从2002～2006年行标准根治性膀胱全切术后行正位回肠膀胱替代术患者中选取获得随访的膀胱癌患者32例,术后3个月内(近期)和3个月后(远期)观察相关并发症和尿控情况,并行尿动力学和静脉肾盂造影或B超检查。结果本组患者并发症发生率15.6%(5/32),3个月后白天完全获得尿控率93.8%,夜间社会性尿控率84.4%;尿流率、功能尿道长度、最大尿道压和新膀胱压力均有较好的恢复。结论回肠膀胱术(Studer术式)是一种疗效确切的根治性膀胱全切术后新膀胱替代术。
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| 关 键 词： | 膀胱癌 尿流动力学 尿流改通术 回肠膀胱替代术 |
Observation of urination control after ileal neobladder reconstruction |
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| CHEN Zhi-wen,JI Hui-xiang,SHEN Wen-hao,YAN Jun-an,LI Xin,SONG Bo,FANG Qiang,LI Xue-mei. Observation of urination control after ileal neobladder reconstruction[J]. Practical Journal of Clinical Medicine, 2010, 7(2): 30-32 |
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| Authors: | CHEN Zhi-wen JI Hui-xiang SHEN Wen-hao YAN Jun-an LI Xin SONG Bo FANG Qiang LI Xue-mei |
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| Affiliation: | CHEN Zhi-wen,JI Hui-xiang,SHEN Wen-hao,YAN Jun-an,LI Xin,SONG Bo,FANG Qiang,LI Xue-mei(Urology Institute of PLA,Southwest Hospital,Third Military Medical University,Chongqing 400038,China) |
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| Abstract: | Objective To evaluate urination control and complications of upper urinary tract after ileal neobladder cystectomy.Methods From 2002 to 2006,patients underwent orthotopic lower urinary tract reconstruction with ileal neobladder cystectomy.Complications were evaluated and subdivided into early and late types.Continence and voiding pattern were individually evaluated by urodynamic examination and a detailed patient questionnaire.The abnormal upper tract was evaluated via intravenous urography and sonography.R... |
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| Keywords: | Bladder cancer Urodynamics Ileal neobladder reconstruction |
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