课件：尿流改道术后的影像学表现.pptx

尿流改道术后的影像学表现Imaging of Urinary Diversions;膀胱癌Bladder Cancer;治疗Treatment; 尿流改道(Urinary Diversion)：尿路某一器官发生严重不可复病变，不能用尿路成形方法恢复从尿道排尿，而将尿路直接或间接开口于腹壁或结肠，从新的途径将尿液排出体外。其中最常见的情况为肌层浸润性膀胱癌行根治性膀胱全切术。;不可控性尿流改道Incontinent Diversions 1.回肠膀胱术Ileal Conduit 2.乙状结肠膀胱术Sigmoid Conduit 可控性尿流改道Continent Diversions 1.可控性回结肠膀胱术Indiana Pouch 2.原位新膀胱Orthotopic Neobladder;回肠膀胱术Ileal Conduit;外科解剖Surgical Anatomy;影像学表现Imaging Findings;影像学表现Imaging Findings;影像学表现Imaging Findings;影像学表现Imaging Findings;并发症Complication;早期并发症Early Complication;尿漏Urine leak;ostomy(white arrow) a thick-walled collection of fluid and gas (black arrow) metastatic soft-tissue mass involving the right iliac bone (*);excreted urine fills the collection due to ureteroileal anastomotic urine leak (L) ileal conduit (arrows);the ileal conduit (C) a large collection (arrows) ;肠漏Bowel leak ;a stent traversing the ileal conduit and urostomy (arrow) dilated small bowel (*) caused by partial small-bowel obstruction a thick-walled collection of fluid and gas consistent with an abscess (arrowhead) the ileal-ileal anastomotic suture line (black arrow) ;肠道功能改变Alterations in bowel function;a transition point at the ileal-ileal anastomosis (arrowhead ) decompressed distal small-bowel loops (black arrows) Ileal conduit (white arrows ) ;;;远期并发症Late Complication;;multiple nondilated opacified small-bowel loops in a large parastomal hernia (arrows) ileal conduit (arrowhead);;;;;乙状结肠膀胱术Sigmoid Conduit;外科解剖Surgical Anatomy;影像学表现Imaging Findings;sigmoid conduit (S) left lower quadrant urostomy(arrowhead) the colonic haustra in the conduit (arrows);早期并发症Early Complication;远期并发症Late Complication;技术发展;可控性尿流改道Continent Diversions;可控性回结肠膀胱术The Indiana Pouch;外科解剖Surgical Anatomy;Indiana pouch (P) the left ureter (arrows) ;影像学表现Imaging Findings;Indiana pouch(P) the left and right ureter (arrow);Indiana pouch误诊为脓肿 a fluid collection initially thought to represent a right lower quadran