期刊文献+

低张力Roux-Y乙状结肠尿流改道抗返流瓣抗粪逆流的实验研究

The Effect of Antireflux Valve Resisting Fecal Countercurrent after Urinary Diversion by Low Tension Roux- Y Sigmoid Neo- bladder
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摘要 目的:研究不同形式抗返流瓣抗粪逆流效果,减少低张力Roux-Y乙状结肠尿流改道术后并发症的发生。方法:将18只比格犬随机分成三组,切除膀胱后行低张力Roux-Y乙状结肠尿流改道,其中为Ⅰ组为无抗返流瓣组(n=6)、Ⅱ组为前壁抗返流瓣组(n=6)、Ⅲ组为套叠式抗返流瓣组(n=6)。术后观察排尿情况,12周后行排泄性尿路造影及"新膀胱"、直肠压力测试。结果:术后一月恢复每1.5-2.5h肛门排尿1次,排尿前尿液主要储存在直肠壶腹部,单次排尿量各组无明显差异。术后各组"新膀胱"静息压无明显差异,套叠组(Ⅲ组)顺流压和前壁组(Ⅱ组)相比无明显差异(P〉0.05),但套叠组(Ⅲ组)抗逆流压高于前壁组(Ⅱ组)和无抗返流瓣组(Ⅰ组)(P〈0.05);肛门溢尿时"新膀胱"压,无抗返流瓣组(Ⅰ组)明显高于前壁组(Ⅱ组)和套叠组(Ⅲ组)(P〈0.05)。结论:低张力"新膀胱"具有一定的压力缓冲作用,套叠式抗返流瓣抗粪逆流作用优于前壁抗返流瓣。 Objective: To study different antireflux valve effects of resisting fecal countercurrent,and to reduce complications after uninary diversion with low tension Roux- Y sigmoid neo- bladder. Method: 18 Beagle dogs were randomly divided into three groups,and received low tension Roux- Y sigmoid urinary diversion after resection of bladder. GroupⅠrefered to no anti- reflux valve group( n = 6),Group Ⅱwas anterior wall anti reflux valve group( n = 6),and Group Ⅲ was intussusception antireflux valve( n = 6). Uri nation was observed after operation. Excretory urography was operated,and manometry of anorectal and neo-bladder was used 12 weeks later. Result: Anal urination was recovered to once per 1. 5 - 2. 5h about one month later. Urine was mainly stored in rectal ampulla before voiding. Single volume had no significant differences among three groups. The resting pressure of neo- bladder in each group had no significant differences. So did the downstream pressure in the Intussusception Group( Group Ⅱ) compared with the Anterior Group( Group Ⅱ)( P〈 0. 05); the upstream pressure in Group Ⅲ was higher than that in Group Ⅱand Group I( P〈 0. 05); when urine was overflowed out of anal, " neo- bladder" pressure in Group I was significantly higher than that in GroupⅡand Group Ⅲ( P〈 0. 05). Conclusion: Low tension "neobladder"has stress- buffering effect,and intussusception antireflux valve resists fecal countercurrent better than anterior antireflux valve.
出处 《河北医学》 CAS 2016年第2期184-187,共4页 Hebei Medicine
基金 上海市浦东新区科委课题 编号:(PKJ2011-Y20)
关键词 尿流改道 改良输尿管乙状结肠吻合 抗返流瓣 肛管直肠测压 动物实验 Urinary diversion Modified ureterosigmoidostomy Antireflux valve Anorectal manometry Animal experiment
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参考文献4

  • 1Liu DY, Feng F, Shen ZJ, et al. Clinical experience in modified Roux-Y shaped sigmoid neoblader: assessment of complications and voiding patterns in 43 patients [ J 1. BJUI, 2010,105(4) : 533 -538.
  • 2Fisch M, Wammack R, Hohenfellner R. The sigma rectumpouch ( Mainz pouch lI ) [ J ] .World Urol, 1996,14:68 - 72.
  • 3夏维木,刘定益,周文龙,王名伟,徐玉生,王健,张立,马春曦,陈荣剑,叶永峰.勃起神经保留性膀胱全切Roux-y乙状结肠新膀胱的临床结果[J].中华男科学杂志,2009,15(9):806-808. 被引量:2
  • 4叶章群.尿流改道及膀胱成形术[M].北京:人民卫生出版社,2001.

二级参考文献6

  • 1Walsh PC . Radical retropubic prostatectomy. In WalshPC, Retik AB, Vaughan ED, et al: Compbell's Urology (6th Ed) Philadelphia. W. B. Saunders CO. Vol3 : 2865-2886.
  • 2Nieuwenhuijzen JA, Meinhardt W, Horenblas S. Clinical outcomes after sexuality preserving cystectomy and neobladder( prostate sparing cysteetomy ) in 44 patients. J Urol, 2005, 173 (4) : 1313-1317.
  • 3Sim HG, Kliot M , Lange PH, et al. Two-year outcome of unilateral sural nerve interposition graft after radical prostatectomy. Urology, 2006, 68(6) : 1290-1294.
  • 4Barre C. Open radical retropubic prostatectomy. Eur Urol, 2007, 52 (1): 71-80.
  • 5夏维木,刘定益,徐玉生,王满琴,王健,唐崎,周文龙,王名伟.低张力Roux-y乙状结肠新膀胱在尿流改道中的应用[J].中华外科杂志,2008,46(12):926-928. 被引量:7
  • 6林长明,杨建军.不同前列腺切除手术方法对性功能的影响[J].中华男科学杂志,2008,14(8):743-748. 被引量:9

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