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目的评价Roux-y乙状结肠新膀胱术在尿流改道中的应用疗效。方法研究分两组,Ⅰ组,22例,行Roux-y输尿管乙状结肠、乙状结肠直肠吻合术;Ⅱ组,21例,行低张力抗尿粪逆流Roux-y乙状结肠新膀胱术。结果Ⅰ组肾盂肾炎3例,肾积水2例,轻度酸中毒3例,残余尿量为0～18m,平均7.6ml,膀胱容量220～360ml,平均287ml;Ⅱ组2例偶有发热,无肾积水和酸中毒,残余尿为0ml,膀胱容量350～560ml,平均480ml。结论低张力抗尿粪逆流Roux-y乙状结肠新膀胱术是一种安全、创伤小和有效的可控尿流改道方法,提高了病人的生活质量。
Objective To evaluate the clinical effect of Roux-y sigmoid colon neo-bladder surgery on urinary diversion. Methods A total of 22 patients underwent Roux-y ureteral sigmoid colon and sigmoidorectal anastomosis in group Ⅰ and group Ⅱ. Twenty-one patients in group Ⅱ received Roux-y retrograde choledochojejunostomy with low tension and anti-urinary feces. Results Group Ⅰ pyelonephritis in 3 cases, hydronephrosis in 2 cases, mild acidosis in 3 cases, residual urine output was 0 ~ 18m, average 7.6ml, bladder capacity 220 ~ 360ml, an average of 287ml; Ⅱ group 2 cases occasional fever, No hydronephrosis and acidosis, residual urine 0ml, bladder capacity 350 ~ 560ml, an average of 480ml. Conclusions The low tension and anti-urinary excretion of Roux-y sigmoid colon neo-bladder surgery is a safe, less invasive and effective method of control of urinary diversion and improve the quality of life of patients.