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目的:探讨乙状结肠直肠膀胱作为尿流改道术并发症的防治经验。方法:回顾性分析了22例乙状结肠直肠膀胱术作为尿流改道的临床资料,总结并发症防治的临床经验。结果:术后早期乙状结肠直肠膀胱漏1例,切口裂开经再次减张缝合治愈3例,高热伴一侧肾积水2例;远期尿道肿瘤复发1例,肿瘤远处转移3例,夜间溢尿2例,未见高氯性酸中毒、肾积水及逆行肾盂感染等严重并发症的病例。结论:乙状结肠直肠膀胱术作为尿流改道具有手术操作较简单,无严重并发症,患者生活质量高易接受,是膀胱全切后一种较理想的可控性尿流改道方法。
Objective: To investigate the prevention and treatment of sigmoid colon and rectocele as a complication of urinary diversion. Methods: A retrospective analysis of 22 cases of sigmoid colon and rectocele as the clinical data of the diversion of urinary tract, summarizes the clinical experience of prevention and treatment of complications. Results: In the early postoperative sigmoid colon and rectum bladder leakage in 1 case, incision rupture again by suture anastomosis in 3 cases, high fever with hydronephrosis in 2 cases; long-term urethral tumor recurrence in 1 case, distant metastasis in 3 cases, at night 2 cases of overflowing urine, no high chloride acidosis, hydronephrosis and retrograde pyelonephritis and other serious complications of the cases. CONCLUSION: The sigmoid colorectal surgery is a simple and convenient operation procedure for urinary diversion. It has no serious complications and high quality of life. It is an ideal controllable urinary diversion method after total bladder resection.