保留性神经的下半膀胱切除术(附六例报告)

Nerve-sparing semi-cystectomy for bladder cancer (report of 6 cases)

目的 探讨膀胱颈部或三角区肿瘤患者行保留性功能的下半膀胱切除术的临床效果。 方法 对 6例男性膀胱三角区或膀胱颈多发浸润性肿瘤患者行下半膀胱切除术 ,5例术中成功保护神经血管束。残余膀胱整形后与尿道吻合。 结果 随访 9～ 36个月 ,4例术后保留性功能 ,2例出现勃起功能障碍 ;1例术后 2年时肿瘤复发行膀胱全切除术 ,1例单侧轻度肾积水。 结论 该术式可最大限度保留生理排尿和性功能 ,明显提高患者术后生活质量 ,但应密切随访。

ObjectiveTo evaluate nerve-sparing semi-cystectomy for bladder cancer at trigone or bladder neck.Methods6 patients suffering from multi and invasive cancer at trigone or bladder neck underwent semi-cystectomy and in 5 of which the nerve-sparing technique was carried out.The post-operative outcome was evaluated.ResultsAll patients were followed up for 9～36 months.With nerve sparing surgery,sexual function has been preserved in 4 of the 5.Radical cystectomy was performed for 1 case because of tumor relapse.Unilateral hydronephresis was noted in another one.ConclusionsQuality of life has been good and erectile function can be preserved by nerve-sparing technique.