摘要
目的：在动物实验基础上，创建一种膀胱癌根治后，新的“Ｙ”型乙直肠膀胱术。方法：在建立肠道连续通道时，将乙状结肠与直肠作套叠式端侧吻合，在作输尿管移植时作抗逆流整形，同时于乙直肠交界缩窄制成漏斗形活瓣。结果：１４ 例术后Ⅰ期愈合，随访１８～６０ 个月，患者排尿控制自如，每次尿量２００～４００ ｍ ｌ，经直肠测压，静止压平均１．７８ ｋＰａ，排尿平均压４．８５ ｋＰａ，近似膀胱压力曲线，无尿路逆流现象，无１ 例发生高氯血症和肾盂肾炎。结论：“Ｙ”型乙直肠膀胱具有良好的温度感和容量感，且手术简便易行，是一种尿流改道的有效方法。
Objective: To study the superiority of the surgical procedure of controlled Y type bladder with sigmoidorectostomy on the basis of animal experiments Method: The junction of the proctosigmoid was cut at about 8 to 10 cmto superimpose the sigmoid with the anterorectum by way of a annular valve in the shape of a funnel Then the anti reflux transplantation of the ureter was performed on to the sigmoid Results: phase I recovery from surgery was achieved in 14 cases In the period of 18 to 60 months of follow ups, the patients could control their urination freely A static pressure of 1 78 kPa and a urinary pressure of 4 85 kPa in the rectum were noticed which are similar to the normal bladder pressure None of the patients operated on suffered from regurgitation of urine, hyperchloremia and/or pyelonephritis Conclusion: The procedure can serve as an effective approach in the transformation of the urinary tract as it is easy to perform and has considerable sensitivity to both temperature and volume
出处
《海南医学院学报》
CAS
1999年第4期156-158,共3页
Journal of Hainan Medical University
