经尿道自控回肠膀胱术

Transurethral continent ileal reservoir

  • 摘要: 1988年3月以来完成8例根治性膀胱切除后经尿道自控回肠膀胱术,7例取得满意的自控经尿道排尿效果,消除了腹壁造口。前二例采用肠套叠乳头瓣抗输尿管反流,第二例因肠套叠滑脱而再次手术,后在实验研究基础上,设计了新的抗反流措施——肠管纵形折叠加两端外固定的新方法,临床应用6例,近期效果满意。本文介绍了手术方法及适应证。

     

    Abstract: A total of 8 patients underwent radical cystectomy and creation of transurethral continent ileal reservoir from march 1988 to december,1988.Of these 8 patients,7 achieved the complete voluntary contronl over the transurethral urination and complete avoidance of any stoma. The reflux was prevented by the interssuscepted nipple valve in the first few cases.Interssuscepted valve was slipped in one of the 2 cases.On the basis of experimental study,the new method of the reflux-preventing has been made which included longitudinally ileal-folding and the external fixition of the extremitis.All of the 6 patients undergone the new method acquired good results during the initial postoperative follw-up.This paper presents the merhod of the operation.

     

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