CAJ | 학술논문

目的探讨无管化技术在膀胱重建术中的应用.方法从2009年开始,在膀胱癌治疗中对膀胱重建术给予改进.术中鞘外游离输尿管,将输尿管拖入回肠膀胱(或回肠原位新膀胱)内1.5 ～2.0cm.不留置输尿管支架管.结果 15例病例,14例成功,一例手术后出现输尿管乳头水肿,改行支架管置入术.术后6～9d拆线出院.缩短患者住院时间,减轻患者药费压力,避免拔管、堵管及尿路感染,术后方便护理.结论通过与原方案疗效、近远期并发症发生的对比,无管化技术安全可行,疗效肯定,不增加明显并发症.
목적 탐토무관화기술재방광중건술중적응용.방법 종2009년개시,재방광암치료중대방광중건술급여개진.술중초외유리수뇨관,장수뇨관타입회장방광(혹회장원위신방광)내1.5 ～2.0cm.불류치수뇨관지가관.결과 15례병례,14례성공,일례수술후출현수뇨관유두수종,개행지가관치입술.술후6～9d탁선출원.축단환자주원시간,감경환자약비압력,피면발관、도관급뇨로감염,술후방편호리.결론 통과여원방안료효、근원기병발증발생적대비,무관화기술안전가행,료효긍정,불증가명현병발증.
Objectives To discuss the application of tubeless method in bladder remodeling.Methods We have begun to improve the method of bladder remodeling in treatment of bladder carcinoma patient since 2009.We free ureter out of the sheath intraoperation and put it into ileum about 1.5 to 2 centimetre.We dont put ureteral stent after the operation.Results We have finished 15 cases of which 14 are successful.There is a patient that occurred ureter papilla edema and turn to put ureteral stent.The patients can take out the sutures 6-9 days after operation.It can shorten in hospital time,relieve the expenses for medicine,avoid extubation pipe blockage and urinarytract infections.It's convenient for nursing care.Conclusions We found out that the application of tubeless method is safe and effective and don't add evident side effect comparing with the parimary operation from curative effect and recent and long-term complications.