根治性膀胱切除术后常用尿流改道方式研究进展.docVIP

·492·  Chinese Journal of Reparative and Reconstructive Surgery, April 2013, Vol. 27, No.4  · 综 述 · 根治性膀胱切除术后常用尿流改道方式研究进展  蒲春晓  员海超李金洪唐寅韩平  【摘 要】 目的 综述根治性膀胱切除术后常用的尿流改道方式。 方法 广泛查阅近年国内外有关根治性膀胱 切除术后尿流改道的文献并进行总结。 结果 尿流改道术包括不可控性尿流改道皮肤造口术、可控性尿流改道皮肤造 口术、原位新膀胱术，其中不可控性尿流改道造口术中的回肠流出道术是一种应用广泛、疗效理想的术式。组织工程膀胱 的一系列基础研究显示其具有广阔临床应用前景。 结论 肠管在较长时间内仍将是尿流改道及膀胱重建的主要材料； 组织工程膀胱有望成为膀胱替代的理想材料，成为解决膀胱缺失的最终途径。 【关键词】 尿流改道 膀胱肿瘤 根治性膀胱切除术 组织工程 RESEARCH PROGRESS OF COMMON MODE IN URINARY DIVERSION AFTER RADICAL CYSTECTOMY/PU Chunxiao, YUAN Haichao, LI Jinhong, TANG Yin, HAN Ping. Department of Urology, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China. Corresponding author: HAN Ping, E-mail: hanpingwestchina@126.com 【Abstract】 Objective To sum up the common mode in urinary diversion after radical cystectomy. Methods The recent original articles about the common mode in urinary diversion after radical cystectomy were extensively reviewed. Results Urinary diversion includes no continent ureterocutaneostomy, continent ureterocutaneostomy and orthotopic neobladder. Ileal conduit, an ideal procedure of urinary diversion, has been widely used in patients after radical cystectomy and it is uncertain whether the health related qual ity of l ife in patients undergoing orthotopic ileal neobladder is superior to those undergoing ileal conduit. A series of basic researches of tissue engineering show a wide prospect of cl inical appl ication in the future. Conclusion Intestinal segment will remain the main material for urinary diversion and bladder reconstruction in a long time. Tissue engineering materials may be ideal for the substitution of bladder, and tissue engineering becomes the ultimate approach to solve the problem of missing bladder. 【Key words】 Urinary diversion Bladder neoplasm Radical cystectomy Tissue engineering Foundation items: National Natural Science Foundation of China  膀胱癌是常见泌尿系统恶性肿瘤之一，根治性膀 胱切除术联合盆腔淋巴结清扫术是治疗肌层浸润