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| Roux-y乙状结肠新膀胱术对代谢的影响 | |
| 引用本文： | 夏维木,刘定益,王名伟,周文龙,王健,徐玉生,叶永峰,张立,马春曦,陈荣剑. Roux-y乙状结肠新膀胱术对代谢的影响[J]. 内分泌外科杂志, 2009, 3(2): 120-121. DOI: 10.3760/cma.j.issn.1674-6090.2009.02.016 |
| 作者姓名： | 夏维木 刘定益 王名伟 周文龙 王健 徐玉生 叶永峰 张立 马春曦 陈荣剑 |
| 作者单位： | 1. 江西鹰潭中国人民解放军第184医院泌尿外科,江西,335000 2. 上海市浦东新区浦南医院泌尿外科,上海,200125 3. 上海交通大学医学院附属瑞金分院泌尿外科,上海,200025 |
| 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乙状结肠新膀胱术对代谢的影响。方法本组33例（男21例，女12例）膀胱癌，均采用根治术膀胱全切、利用肛门括约肌控尿的Roux-y乙状结肠新膀胱术行手术治疗，分析新膀胱引流管拔管前后血电解质、肌酐和尿素的变化以评价新膀胱对代谢的影响。结果33例术后血电解质、肌酐和尿素均在正常范围，拔管前后电解质、肌酐和尿素的差异无统计学意义，3例有轻度酸中毒。结论Roux-y乙状结肠新膀胱术是有效、安全的可控尿流改道方法，对人体代谢没有明显的影响。 |
| 关 键 词： | 尿流改道 膀胱切除 乙状结肠新膀胱 代谢 |
Effect on metabolic state in patients with Roux-y sigmoid neobladder |
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| XIA Wei-mu,LIU Ding-yi,WANG Min-wei,ZHOU Wen-long,WANG Jian,XU Yu-sheng,YE Yong-feng,ZHANG Li,MA Chun-xi,CHENG Rong-jian. Effect on metabolic state in patients with Roux-y sigmoid neobladder[J]. , 2009, 3(2): 120-121. DOI: 10.3760/cma.j.issn.1674-6090.2009.02.016 | |
| Authors: | XIA Wei-mu LIU Ding-yi WANG Min-wei ZHOU Wen-long WANG Jian XU Yu-sheng YE Yong-feng ZHANG Li MA Chun-xi CHENG Rong-jian |
| Affiliation: | XIA Wei-mu , LIU Ding-yi, WANG Min-wei, ZHOU Wen-long, WANG Jian,XU Yu-sheng, YE Yong-feng,ZHANG Li, MA Chun-xi, CHENG Rong- finn.(Department of Urology, the 184th Hospital of PLA, Yingtan, Jiangxi 335000, China) |
| Abstract: | Objective To assess metabolic state in patients with Roux-y sigmoid neobladder.Methods The study comprised 33 patients(21 men and 12 women) with Roux-y sigmoid neobladder after oneological sur-gery.All enrolled patients were treated by the same protocol.Before and after withdrawing the catheter , serum e-lectrolytes, ereatinine and urea were analysed and used to assess the effect.Results All 33 patients were evalu-able.Before and after withdrawing the catheter , serum electrolytes, creatinine and urea were normal values and there was no signifcant difference(P >0.05).Three patients developed mild metabolic acidosis.Conclusions The Roux-y sigmoid neobladder is a feasible , safe and effective method for continent urinary diversion.This surgi-cal technique had no signifcant effect on metabolic state. |
| Keywords: | Urinary diversion Csteetomy Sgmoid neobladder Mtabolism |
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