可控回结肠膀胱成形术(附4例报告)

Indiana Continent Ileocolic Urinary Reservoir

本文报告了4例国内尚未开展的可控回结肠膀胱成形术,近期观察疗效满意。4例均为膀胱癌患者,术后3～4小时自行导尿1次,300ml～400ml,最大容量达500ml。膀胱内压:400ml时为15～19cmH_2O。术后无尿失禁,无代谢紊乱,不挂尿袋,生活方便。

4 cases of Indiana Continent Ileocolic Urinary Reservoir (Indiana Pouch) are reported, which are the first 4 patients undergoing this procedure in our country. All patients with bladder cancers had a desire and willingness to take on the added responsibility of a continent reservoir because of the condition of their diseases and got a satisfactory result postoperatively. The patients catheterized the stoma every 3 to 4 hours with 300 to 400ml, the greatest volume of catheterization was 500ml. On urodynamic evaluations of the continent reservoir the pressure did not reach more than 20cm of water and remained within the normal level of the bladder pressure until the capacity of the reservoir was reached. The patients were able to master the clean intermittent self-catheterization easily. There was no leakage between two catheterizations and no metabolic disorder. The patients do not need any urinary bags and can lead a normal social life.