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人工回结肠袋全膀胱置换术:(附6例报告)
引用本文:袁子彦,李普云.人工回结肠袋全膀胱置换术:(附6例报告)[J].湛江医学院学报,1992,10(2):85-87.
作者姓名:袁子彦  李普云
作者单位:湛江医学院附属医院泌尿外科,湛江医学院附属医院泌尿外科,湛江医学院附属医院泌尿外科,湛江医学院附属医院泌尿外科 进修医师
摘    要:本文报道6例膀胱癌切除全膀胱后用人工回肠结肠袋与后尿道吻合以置换膀胱。6例术后均能自控排尿,每2~4h排尿一次,每次200~400ml,无尿失禁现象。效果满意。避免患者下腹造口、尿路改道以及日夜使用尿袋的痛苦。

关 键 词:膀胱置换术  泌尿系统  外科手术

TOTAL BLADDER REPLACEMENT IN MALE USING THE ILEOCOLONIC SEGMENT (A REPORT OF 6 CASES)
Yuan Ziyan Li Puyun Huang Xingduan Peng Lingguang.TOTAL BLADDER REPLACEMENT IN MALE USING THE ILEOCOLONIC SEGMENT (A REPORT OF 6 CASES)[J].Journal of Guangdong Medical College,1992,10(2):85-87.
Authors:Yuan Ziyan Li Puyun Huang Xingduan Peng Lingguang
Abstract:A group of 6 patients with invasive bladder cancer,they are male underwent total bladder replacement using ileocolonic segment with anastomosis of the bowel to uretha. The surgical techniqe in male patients was modified to simpify the procedure. No patient died in postopera-tively. All patients are continent day and night relying on their own residual sphincter mechanism to achieve social continence. All patients have been voiding intervals of 2~4 hours during the day and are thus continent both day and night. Total bladder replacement is now possible in male patients,thus avoiding an abdominal stoma.
Keywords:ileocolonic pouch  ileocystoplasty  conduit urinary diversion
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