可控性回盲肠膀胱23例

目的探讨膀胱全切后可控性膀胱的手术方法及术后疗效观察。方法1996年10月至2000年10月对23例膀胱癌患者施行根治性膀胱切除后采用回盲升结肠形成贮尿囊，进行尿流改道。结果随访4月到4年均获得满意的疗效。贮尿囊容量达300～550ml，最大压力40cmH2O，阑尾流出道的压力为54cmH2O，4-5小时导尿1次，无尿外溢，无高氯性酸中毒。有2例术后因肿瘤转移死亡。结论回盲肠袋做贮尿囊，阑尾做流出道，可控性好，并发症少，可提高患者的生存质量，是理想的尿流改道术式。

Continent ileal ceacal- ascending colon urinary reservoir.

Objective To evaluate the procedure of continent ileal ceacai ascending colon urinary diversion-Methods From Oct. 1996 to Oct.2000, continent ileal ceacal ascending colon urinary diversion was performed in 23 patients with bladder cancer following radical cystectomy. Results 23 cases have been followed up and have reliable continence in all. The capacity of the reservoir was 300 ml to 550 ml with maximum pressure of 40 cmH2O ,self catheriating were carried out every 4 to 5 hours. No hyperchlorernic metablic acidosis occ-cured in the patients. Conclusions Cantient ileal ceacal ascending was colon urinarg reserveir believed to be an ideal form of urinary diversion and there was few complications and can impreve quality life of postcystectomy patients.