CAJ | 학술논문

目的评价全膀胱切除后低张力抗尿粪逆流Roux-y乙状结肠新膀胱在尿流改道中的疗效.方法 21例患有浸润性膀胱癌的患者施行了膀胱全切、低张力抗尿粪逆流Roux-y乙状结肠新膀胱术,术后随访8～79个月,平均36个月,尿动力学检查包括尿流率、残余尿、膀胱容量和充盈期膀胱压力测定.结果 21例患者最大尿流率21.4～38.4 ml/s,平均28.1 ml/s,排尿时间9～28 8,平均17 s,无残余尿,尿意容量120～410 ml,平均330 ml,膀胱容量350～560 ml,平均480 ml,膀胱充盈期末压力14.2～18.6 cm H2O(1 cm H2O=0.098 kPa),平均16.4 cm H2O,最大排尿压23.6～63.4 cmH2O,平均45.0 cm H2O.结论低张力Roux-y乙状结肠新膀胱具有良好的储尿功能,是一种有效的可控尿流改道方法.
목적 평개전방광절제후저장력항뇨분역류Roux-y을상결장신방광재뇨류개도중적료효.방법 21례환유침윤성방광암적환자시행료방광전절、저장력항뇨분역류Roux-y을상결장신방광술,술후수방8～79개월,평균36개월,뇨동역학검사포괄뇨류솔、잔여뇨、방광용량화충영기방광압력측정.결과 21례환자최대뇨류솔21.4～38.4 ml/s,평균28.1 ml/s,배뇨시간9～28 8,평균17 s,무잔여뇨,뇨의용량120～410 ml,평균330 ml,방광용량350～560 ml,평균480 ml,방광충영기말압력14.2～18.6 cm H2O(1 cm H2O=0.098 kPa),평균16.4 cm H2O,최대배뇨압23.6～63.4 cmH2O,평균45.0 cm H2O.결론 저장력Roux-y을상결장신방광구유량호적저뇨공능,시일충유효적가공뇨류개도방법.
Objective To assess the therapeutic effects of low tension,anti-reflux Roux-y sigmoid neobladder.Methods A total of 21 patients (7 male and 14 female) were included.aged 43-87 years.All cases received radical cystectomy and low tension Roux-y sigmoid neobladder procedure for invasive bladder cancer were included in this study.The period of follow-up Was from 8 to 79 months (the average was 36 months).Evaluations included urinary flow rate,postvoiding residual and filling cystometry.Results The mean maximum urinary flow rate,the voiding time and the postvoiding residual were 28.1 ml/s(21.4-38.4 ml/s),17 s(9-28 s)and 0 ml respectively.The cystometric capacity was 480 ml(350-560 m1).The volume of desire to void was 330 ml(120-410 m1).The bladder pressure was from 14.2 to 18.6 cm H2O(the average bladder pressure was 16.4 cm H2O)at high filling volumes.The maximum voiding pressuer was 45.0 cm H20(23.6-63.4 cm H2O).Conclusions The Roux-y sigmoid neobladder has an adequate capacity at low pressure with a satisfactory continence,and it is an effective method for continent urinary diversion.