去带盲结肠可控膀胱术3例报告

Detenia cecocolon continenturinary reservoir (Reportof 3 cases)

目的：探讨一种全膀胱切除或全盆腔脏器切除术后尿流改道方法。方法：对２ 例全盆腔脏器切除和１ 例全膀胱切除患者行去带盲结肠可控膀胱术。结果：随访４～１６ 个月，贮尿囊平均容量４５０ ｍ ｌ，平均内压为（１．９６±０．４９） ｋＰａ，无输尿管反流，血电解质和肾功能正常，排尿控制良好。结论：去带盲结肠可控膀胱术具有手术操作简单，贮尿囊容量大、内压低，自控排尿良好，并发症少等优点。

Purpose:To search a new m ethod of urine reservoir.Methods:Detenia cecocolon continenturinary reservoirw asperform ed for 3 cases.Results:The patientshave been follow up for 4～16 m onths.The averge capacity ofthe urine reservoir has been 450 m l,the avergeintrareservoir pressure (1.96±0.49) kPa.There has been no evidence ofureter reflux.Serum electric and renal function w ith in norm allim its.Continence ofurination has been excellent.Conclusions:Detenia ce- cocolon continenturinary reservoir could assure a large capcity continenturinary reservoirw ith low intrareservoir pressure and less com plications and the surgicaltechnique is easier to carry out.