膀胱全切改良Sigma直肠膀胱术10例临床疗效分析

The clinical effect study of 10 cases radical cystectomy and modified Sigma rectum pouch

目的探讨膀胱全切改良Sigma直肠膀胱术的临床疗效。方法2006年1月。2008年1月对10例男性膀胱癌患者行膀胱全切后均行改良Sigma直肠膀胱术，折叠乙状结肠约25cm后全层切开，缝合成低压袋，两输尿管并腔后从低压袋上方引入，外翻乳头插入式吻合。结果改良Sigma直肠膀胱手术时间60min。术后全部获得随访，随访5—24个月，平均16个月，全部病例尿控良好。无明显酸碱平衡紊乱。1例单侧轻度肾积水。结论改良Sigma直肠膀胱术手术时间短、操作简单、并发症少、尿控效果好且更符合生理要求，可明显提高患者生活质量。

Objectives To discuss The clinical effect study of 10 cases modified Sigma rectum pouch after radical cystectomy. Methods 10 male patients had been performed modified Sigma rectum pouch from Jan. 2006 to Jan. 2008. A segment of Sigrnoid colon was folded and a longitudinal incision about 25cm was made on the Sigmoid wall and the incision was sutured so as to form a low pressure pouch. The ends of the 2 ureters were anastomosed together to form a big nipple and was then drawn into the top of the pouch for 2 - 3cm and the ureteroSigmoidostomy was accomplished. Results The operative time of modified Sigma rectum pouch took 60min. 10 cases had been followed up for 5 - 24manths with a mean of 16 months and good urinary continence without acid - base dysequilibriurn. A slight unilateral hydrenphresis occurred in 1 case. Conclusions The method is the character of short time, a few complication good continence , as well as, according with physiological requirement. The life quality of patients would be markedly improved.