国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2008年
5期
302-304
,共3页
张宝勋%刘洛英%王全民%高栋%史伍屏%李国龙%费建功%丁亮
張寶勛%劉洛英%王全民%高棟%史伍屏%李國龍%費建功%丁亮
장보훈%류락영%왕전민%고동%사오병%리국룡%비건공%정량
膀胱肿瘤%膀胱全切%MainzⅡ式膀胱术
膀胱腫瘤%膀胱全切%MainzⅡ式膀胱術
방광종류%방광전절%MainzⅡ식방광술
bladder neoplasm%modified total cystectomy%Mainz Ⅱ neobladder
目的 观察膀胱全切Mainz Ⅱ膀胱术可控性尿流改道的临床疗效.方法 对17例膀胱肿瘤患者行膀胱根治性全切术后,采用Mainz Ⅱ型膀胱术尿流改道.术中取直肠和乙状结肠各10 cm,对系膜缘剖开,从直肠和乙状结肠连接处对折双层缝合成贮尿囊后壁,左右输尿管分别与乙状结肠和直肠乳头状抗反流吻合,双层缝合前壁,建成Mainz贮尿囊.结果 17例均获成功,手术时间340~420 min,平均350 min;输血400~800 ml,平均600 ml;随访4~18 月,尿粪分流,尿控效果好;无明显并发症.结论 膀胱全切Mainz Ⅱ型膀胱术操作简单、并发症少、尿控效果好,生活质量高,是一种理想的尿流改道方法.
目的 觀察膀胱全切Mainz Ⅱ膀胱術可控性尿流改道的臨床療效.方法 對17例膀胱腫瘤患者行膀胱根治性全切術後,採用Mainz Ⅱ型膀胱術尿流改道.術中取直腸和乙狀結腸各10 cm,對繫膜緣剖開,從直腸和乙狀結腸連接處對摺雙層縫閤成貯尿囊後壁,左右輸尿管分彆與乙狀結腸和直腸乳頭狀抗反流吻閤,雙層縫閤前壁,建成Mainz貯尿囊.結果 17例均穫成功,手術時間340~420 min,平均350 min;輸血400~800 ml,平均600 ml;隨訪4~18 月,尿糞分流,尿控效果好;無明顯併髮癥.結論 膀胱全切Mainz Ⅱ型膀胱術操作簡單、併髮癥少、尿控效果好,生活質量高,是一種理想的尿流改道方法.
목적 관찰방광전절Mainz Ⅱ방광술가공성뇨류개도적림상료효.방법 대17례방광종류환자행방광근치성전절술후,채용Mainz Ⅱ형방광술뇨류개도.술중취직장화을상결장각10 cm,대계막연부개,종직장화을상결장련접처대절쌍층봉합성저뇨낭후벽,좌우수뇨관분별여을상결장화직장유두상항반류문합,쌍층봉합전벽,건성Mainz저뇨낭.결과 17례균획성공,수술시간340~420 min,평균350 min;수혈400~800 ml,평균600 ml;수방4~18 월,뇨분분류,뇨공효과호;무명현병발증.결론 방광전절Mainz Ⅱ형방광술조작간단、병발증소、뇨공효과호,생활질량고,시일충이상적뇨류개도방법.
Objective To observe clinical curative effect of modified total cystectomy and Mainz Ⅱ neobladder. Methods Seventeen patients with bladder neoplasms were treated with modified total cystectomy and Mainz Ⅱ neobladder for urinary diversion. The paries posterior allantois with intestinum rectum and colon sigmoideum were taken 10 cm respectively, split the mesenterium edges, conduplicated and bilayer sutured from the junction of intestinum rectum and colon sigmoideum, bilateral ureters antireflux anastomosed respectively with colon sigmoideum and rectal papilla, then bilayer sutured paries anterior became Mainz allantois. Results There was no surgical mortality. The operative time was 340 ~ 420 mins (mean, 350 mins).Blood transfusion was 400 ~ 800 ml ( mean 600 ml). The follow-up was 4 ~ 18 months, urine and dejecta were shunt, uresis continence was fine and the operation had fewer severe complications. Conclusion Modified total cystectomy and Mainz Ⅱ neobladder to be an effective method for urinary diversion because of its simple operation, fewer severe complications, good uresis continence and high quality of life.