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目的:回顾性研究原位回肠代膀胱术后患者肾功能的变化情况。方法:回顾性分析2007年7月-2012年2月连续随访腹腔镜下行膀胱全切除术后原位回肠代膀胱术22例患者临床资料,随访其血肌酐水平的变化情况,观察患者排尿及控尿功能的情况。结果:术前肌酐46~103 mmol/L〔平均(60.5±21.2)mmol/L〕,术后20例(20/22)为78~125mmol/L〔平均(82.3±22.1)mmol/L〕,有2例患者术后复查发现血肌酐增高至氮质血症期(肌酐水平为154 mmol/L和189 mmol/L)。结论:原位回肠代膀胱术后患者血肌酐水平有所增加。
Objective: To retrospectively study the changes of renal function in patients with ileal ileal bladder surgery. Methods: The clinical data of 22 patients with ileal ileal bladder resection after laparoscopic total cystectomy from July 2007 to February 2012 were retrospectively analyzed. The changes of serum creatinine were followed up and the urination and control Urine function of the situation. Results: Preoperative creatinine was 46 ~ 103 mmol / L 〔(60.5 ± 21.2) mmol / L〕 on average and 20 ~ 22 patients (78 ~ 125 mmol / L〕 Postoperative follow-up in two patients revealed elevated serum creatinine to azotemia (creatinine levels of 154 mmol / L and 189 mmol / L). Conclusions: Serum creatinine levels are increased in patients with ileal bladder replacement.