摘要
为探讨可控性膀胱术后晚期并发症的防治办法,分析了25例术后的随访结果。1988年5月至1994年6月,我院共施行了膀胱全切除可控性膀胱术26例,其中25例随访了1~7年,随访期间发现的晚期并发症有:贮尿囊过度扩张8例,贮尿囊结石3例,尿失禁2例,导尿困难3例,肾盂输尿管轻度扩张3例,轻度高氯性酸中毒3例,腹泻1例。通过对这些并发症的处理及原因分析,我们认为贮尿囊过度扩张是贮尿囊结石、感染和代谢紊乱的原因之一,缩窄末段回肠式输出道控尿良好,并发症少,明显优于套叠乳头式输出道;抗返流输尿管吻合及低压贮尿囊是保护肾功能的关键。
From May l988 to June l994, continent urinary reservoir was constructed after total cystectomy for 26 consecutive patients. 25 of which have been followed up for l~7years. Urinary pouch overdistention has been observed in 8, stone formation in the pouch in 3, urinary incontinence in 2,difficulty with catheterization in 3,mild hyperchloremic acidosis in 3 and diarrhea in l.Pouch overdistention was believed to be the main cause of the above-stated complications.The tapled terminal ileum for the construction of a continent urinary reservoir has been better with less complications than the intussusepted ileal valve. The key points of the surgical procedure were the antireflux anastomosis of ureters and the construction of a low pressure pouch, both being important in the protection of renal function.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1996年第9期534-536,共3页
Chinese Journal of Urology