全膀胱切除并输出道缩窄悬吊增强可控回肠膀胱术5年疗效观察.doc

输出道缩窄悬吊增强可控回肠膀胱术与传统回肠膀胱术5年疗效回顾性分析 史彦彬, 诸禹平（230001 合肥安徽医科大学附属安徽省立医院泌尿外科）[摘要] 目的 比较膀胱全切术后行输出道缩窄悬吊增强可控回肠膀胱术与回肠膀胱术的临床疗效及并发症情况，探讨输出道缩窄悬吊增强可控回肠膀胱术的临床应用价值。方法 回顾性分析2001年1月2009年8月行膀胱全切膀胱癌患者输出道缩窄悬吊增强可控回肠膀胱术治疗2例及回肠膀胱术6例的临床资料，对比分析围术期情况、术后并发症及肿瘤进展情况。结果 两种术式在术中出血量、术后住院、术后远近期并发症差异无统计学。输出道缩窄悬吊增强可控回肠膀胱组术后控尿。结论 输出道缩窄悬吊增强可控回肠膀胱术具有良好的安全性及临床疗效，对于不适合原位新膀胱术且要求控尿者尤为适合。 [关键词] 膀胱癌; 全膀胱切除术; 尿流改道术回肠膀胱术者E-mail: zhuyp-mr@ Comparison of clinical efficacy of enhancement controllable output channel narrowed ileal bladder suspension surgery with traditional ileal neobladder Shi Yanbin， Zhu Yuping (Urology Department, Anhui Provincial Hospital, Anhui Medical University，) [Abstract] 0bjective: To evaluate the safety and efficacy and explore the clinical application value of the enhancement controllable output channel narrowed ileal bladder suspension surgery and traditional ileal neobladder after total cystectomy. Methods: From July 2001 to August 2009, 42 patients with bladder cancer received enhancement controllable output channel narrowed ileal bladder suspension surgery after total cystectomy; and 46 patients received ileal neobladder after total cystectomy. Their clinical data, perioperative situation , postoperative complications and tumor progress were analyzed. Results: In regard to the blood loss, postoperative hospital stay, and postoperative recent or far complications, both surgical methods were no significant statistical difference (P0.05). The group of Enhanced controllable output channel narrowing ileal bladder suspension surgery can be good control of urination after operation. Conclusions: Enhancement controllable output channel narrowed ileal bladder suspension surgery has good clinical effect and safety. It is especially suitable for the patients who need control inurine and don’t accepted Orthotopic neobladder . [key words] Bladder cancer; Cystectomy; Urinary diversion; Ileal neobladder Correspongding author: Zhu Yuping, E-mail: zhuyp-mr@ 根治性全膀胱切除术是肌层浸润性膀胱癌的基本治疗手段尿流改道一直。输出道缩窄