【摘要 】 目的 介绍一种膀胱全切术后尿流改道方法。 方法 1996年 12月～ 1997年 12月对 7例全膀胱切除患者行去带可控性盲结肠新膀胱术。 结果 随访 2～ 12个月，贮尿囊平均容量 420ml，平均内压 (15±9)cmH₂ O，贮尿囊造影未见输尿管返流， IVU上尿路无积水和输尿管狭窄，排尿控制良好，插管容易，尿液中无致病菌生长。 结论 去带可控性盲结肠新膀胱术具有手术操作简单、容量大、内压低、无返流、能自由控制排尿等优点，明显改善了患者的生活质量，具有较好的应用价值。

Continent detenialcecocolic bladder

WU Haixiao,ZHANG Xinnan,WANGXiandao,et al

Department of Urology,ZhejingJinhua Municipal Center Hospital,Jinhua 321000

【 Abstract 】 Objective To recommend a new method of urine reservoir after tolal cystectomy. Methods Detenial cecocolic bladder wasperformed for 7 cases of bladder cancer after total cystectomy. Results The patients have been followed up for 2～ 12 months.The average capacity ofthe urine reservoir has been 420ml,the average intrareservoir pressure 15 cmH₂ Oand there has been neither urine reflux nor hydronephrosis.Continence of urination hasbeen excellent and urine cultures have been negative. Conclusions Detenial cecocolic bladder provides a large capacity,lowintrareservoir pressure urine reservoir with excellent continence thus improving the lifequality of patients.Continent detenial cecocolic bladder is highly recommended forclinical application.

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