The Experiences of Rectosigmoid Pouch as a Continent Urinary Diversion After Radical Cystectomy

總共有35位病人接受微底膀胱切除後施行乙狀直腸囊作尿路分流。我們描術了黏膜下輸尿管植入的技術，同時分析手術結果，並且評估了術前肛門活約肌壓力與術後解尿頻率的關系。日間與夜間可禁性可達97%(34/35)。術後沒有腎水腫，輸連管大腸接合處狹窄或逆流。與其他形式尿路分流比較起來，併發症並不高。當術後肌門括約肌閉鎖壓力接近100cm H2O時，可預測術後有良好的生活品質。乙狀直腸囊由於很高的可禁性比率及手術簡單，未來可成為可憐性尿路分流的選擇之一。為了獲得好的手術結果，病人必須有正常的腎功能，肝功能及肛門閉鎖壓力最好大於50cm H2O。

關鍵字

無資料

並列摘要

Thirty-five patients receiving cystectomy underwent rectosigmoid pouch. The technique of ureteral submucous implantation was described. The follow-up results were analyzed. The relationship of postoperative voiding frequency and preoperative anal closure pressure was assessed. The day and night time continence rate is 97% (34/35). There were no hydronephrosis, no ureterocolonic stricture or reflux. The complications are unique to rectosigmoid pouch and not high when comparted with other forms of urinary diversion. When the preoperative anal closure pressure reaches nearly 100 chH2O a postoperative outcome with good quality of life will be predicted. With the advantages of high continence rate and simplicity of performance the rectosigmoid pouch will become one of the alternative forms of continent urinary diversion. For obtaining the favorable results a patient with normal renal function, good hepatic function and anal closure pressure more than 50 cmH2O is required.

並列關鍵字

urinary diversion ； ureterosigmoidostomy ； bladder neoplasms

國際替代計量

The Experiences of Rectosigmoid Pouch as a Continent Urinary Diversion After Radical Cystectomy

全文下載

主題瀏覽