CAJ | 학술논문

目的探讨膀胱全切术后原位膀胱形态和储尿功能的相关性. 方法 1991年1月至2011年3月行膀胱全切原位膀胱术患者117例,男104例,女13例.年龄38～70岁,平均56岁.采用W形回肠原位膀胱28例,VIP原位膀胱14例,去带乙状结肠膀胱50例,去管乙状结肠膀胱25例. 结果术后随访1～3年34例,＞3年35例.所有患者术后1年储尿功能稳定,均接近正常膀胱储尿功能.回肠膀胱形态似球形,以VIP原位膀胱形态和储尿功能为优. 结论采用去管化原位膀胱远期储尿功能满意；同类相同长度肠管成形的膀胱形态与储尿容量相关.
목적 탐토방광전절술후원위방광형태화저뇨공능적상관성. 방법 1991년1월지2011년3월행방광전절원위방광술환자117례,남104례,녀13례.년령38～70세,평균56세.채용W형회장원위방광28례,VIP원위방광14례,거대을상결장방광50례,거관을상결장방광25례. 결과 술후수방1～3년34례,＞3년35례.소유환자술후1년저뇨공능은정,균접근정상방광저뇨공능.회장방광형태사구형,이VIP원위방광형태화저뇨공능위우. 결론 채용거관화원위방광원기저뇨공능만의；동류상동장도장관성형적방광형태여저뇨용량상관.
Objective To identify the best surgical procedure for orthotopic neobladder by evaluating the morphology and the urine storage function of the neobladder in comparison of the four surgical procedures.Methods From Jan.1991 to Mar.2011,there were 117 cases radical cystectomies in our institute performed.Of these cases,there were 28 cases using W ileal orthotopic bladder,14 cases using VIP in situ bladder,50 cases using detenial sigmoid colon bladder,25 cases using sigmoid colon bladder.Results 69 cases were followed up for 1-3 years,among them 35 cases were followed up more than 3 years.All the cases with different surgical procedures after 1 year were with stable urine storage function of the urinary bladder and were close to normal urine storage function.The ileum bladder shape was like a ball.After comparison,the VIP in situ bladder was the best choice for in situ bladder and urine storage function.Conclusions For different neobladder,there is no obvious difference in long-term urine storage function;Neobladder morphology and urine storage capacity is related with the length of bowel loops.