摘要
目的评价Roux-y乙状结肠新膀胱术对代谢的影响。方法本组33例(男21例,女12例)膀胱癌,均采用根治术膀胱全切、利用肛门括约肌控尿的Roux-y乙状结肠新膀胱术行手术治疗,分析新膀胱引流管拔管前后血电解质、肌酐和尿素的变化以评价新膀胱对代谢的影响。结果33例术后血电解质、肌酐和尿素均在正常范围,拔管前后电解质、肌酐和尿素的差异无统计学意义,3例有轻度酸中毒。结论Roux-y乙状结肠新膀胱术是有效、安全的可控尿流改道方法,对人体代谢没有明显的影响。
Objective To assess metabolic state in patients with Roux-y sigmoid neobladdcr. Methods The study comprised 33 patients( 21 men and 12 women) with Roux-y sigmoid neobladder after oncological surgery. All enrolled patients were treated by the same protocol. Before and after withdrawing the catheter , serum e- lectrolytes, creatinine and urea were analysed and used to assess the effect. Results All 33 patients were evaluable. Before and after withdrawing the catheter , serum electrolytes, creatinine and urea were normal values and there was no signifcant difference(P 〉0. 05 ). Three patients developed mild metabolic acidosis. Conclusions The Roux-y sigmoid neobladder is a feasible , safe and effective method for continent urinary diversion. This surgical technique had no signifcant effect on metabolic state.
出处
《中华内分泌外科杂志》
CAS
2009年第2期120-121,共2页
Chinese Journal of Endocrine Surgery
基金
中国人民解放军南京军区医学科学技术研究”十一五”计划资助项目(06MA80)