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目的 建立一种操作简单、并发症少、较理想的可控性尿流改道术。 方法 对 2 6例膀胱癌等肿瘤患者行根治性膀胱切除术后 ,游离截取 15~ 2 0cm盲升结肠 ,间隔 0 5~ 1 0cm切断结肠带 ,建成去带盲升结肠可控膀胱并开口于脐部。 结果 随访 2~ 5 1个月 ,可控效果好 ,并发症少 ,术后 6个月 3~ 6h放尿 1次 ,每次尿量为 35 0~ 6 0 0ml。尿动力学显示 :最大充盈压为 (5 9± 2 4)cmH2 O ,输出道最大闭合压为 (10 4± 34 )cmH2 O。 结论 去带盲升结肠可控膀胱术是一种比较理想的可控膀胱术
Objective To establish a controllable urinary diversion which is easy to operate with less complications. Methods Twenty-six patients with tumor such as bladder cancer undergoing radical cystectomy were randomly divided into 15-20 cm ascending colon and 0-5-10 cm intercostal colon to establish a controllable bladder with blind ascending colon Umbilicus. Results The follow-up ranged from 2 to 5 months. The controllable effect was good with less complications. Urine was 35 0 ~ 60 0 ml once every 3 to 6 hours after 6 months. Urodynamic studies showed that the maximum filling pressure was (59 ± 2 4) cmH2O and the maximum closing pressure of the output channel was (104 ± 34) cmH2O. Conclusion The blind ascending colon controllable bladder surgery is an ideal controlled bladder surgery