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保留性神经的根治性全膀胱切除术探讨(附6例报告)

Sexual-Nerve-Sparing Radical Cystectomy (report of 6 cases)
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摘要 本文报告我科1993.6~1995.2在为6例多发性或浸润性膀胱肿瘤患者行根治性全膀胱切除术中,有意识地保护支配阴茎勃起的性神经,并取得满意的效果。术后6例中有5例恢复了阴茎勃起功能。本文报告6例临床资料及手术方法的同时,结合文献复习着重介绍性神经血管束(Neuro-Vaocular Bundle,NVB)的解剖三维关系,及术中如何识别并有效地保护NVB的体会。 The result of 6 cases with multiple or invasive bladder cancers treated with the radical cystec-tomy was reported. During the operations, we applied the technique of sexual-nerve-sparing in order to keep sexual funclion. The follow-up result showed 5 of them has reeovered the abilily of penile erection after operation, In this arricle.We reviewed the clinical data of these patients and deseribed the details of sexual nerve sparing procedure, especially introduced the anatomical relation ship between the neuro-vascular bundle (NVB) with bladder, prostate, urethra and seminar vesicles, and how to recognize and protect it from injury.
出处 《现代泌尿外科杂志》 CAS 1996年第2期70-73,共4页 Journal of Modern Urology
关键词 全膀胱切除术 膀胱癌 radical eystectomy bladder caneer nerve-sparing
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