CAJ | 학술논문

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.
목적 탐토방광전절개량Sigma 직장방광술적림상료효.방법 2006년1월～2008년1월대10 례남성방광암환자행방광전절후균행개량Sigma 직장방광술,절첩을상결장약25cm 후전층절개,봉합성저압대,량수뇨관병강후종저압대상방인입,외번유두삽입식문합.결과 개량 Sigma 직장방광수술시간60min.술후전부획득수방,수방5～24개월,평균16 개월,전부병례뇨공량호.무명현산감평형문란.1례단측경도신적수.결론 개량 Sigma 직장방광술수술시간단、조작간단、병발증소、뇨공효과호차경부합생리요구,가명현제고환자생활질량.
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 Sigmoid 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 to - gether to form a big nipple and Wag then drawn into the top of the pouch for 2～3cm and the ureteroSigmoidostomy was accomplished.Results The operative time of modified Signm rectum pouch took 60min.10 cases had been followed up for 5～24months with a mean of 16 months and good urinary continence without acid - base dysequilibri - um.A slight unilateral hydronephrosis occurred in 1 cage.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.