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目的 :评价改良去带盲结肠可控膀胱术的临床价值。方法 :对 8例膀胱癌患者施行全膀胱切除和改良去带盲结肠可控膀胱术。结果 :随访 3～ 41个月 ,均获得良好的疗效。贮尿囊容量为 2 6 0～ 70 0ml,贮尿囊内最大压力为 0 .981～ 2 .940kPa ,每 3～ 6h导尿 1次 ,血清电解质和肾功能正常。结论 :本术式可以获得大容量、低内压的贮尿囊 ,具有可控效果好、操作简单和并发症少等优点。
Objective: To evaluate the clinical value of modified blind band controlled bladder surgery. Methods: Totally 8 patients with bladder cancer underwent total cystectomy and modified decontamination controlled bladder surgery. Results: All cases were followed up for 3 ~ 41 months and achieved good results. The capacity of storage albumen is 260 ~ 70 0ml, the maximum pressure in storage albumen is 0.981 ~ 2. 940kPa, every 3 ~ 6h catheterization 1 times, serum electrolyte and renal function is normal. Conclusion: This procedure can obtain large capacity, low pressure of the storage of urine, with controlled effects, simple operation and fewer complications.