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膀胱癌行膀胱全切原位回肠新膀胱术的临床治疗效果分析

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目的探讨膀胱癌行膀胱全切原位回肠新膀胱术的临床治疗效果。方法对25例膀胱癌患者使用膀胱全切原位回肠新膀胱术治疗的临床资料进行回顾性分析。结果所有患者均顺利完成手术治疗,术后随访无复发情况,白天控尿良好的患者占94%,夜间控尿良好的占84%。排尿通畅者占21例,不畅者占4例;B超检查没有出现上尿路扩张症状,膀胱造影没有发现膀胱输尿管返流现象。结论膀胱全切原位回肠新膀胱术治疗膀胱癌疗效确切,值得临床推广。
Objective To investigate the bladder cancer radical cystectomy with orthotopic ileal neobladder surgery clinical therapeutic effect. Methods 25 cases of bladder cancer patients using total cystectomy and orthotopic ileal neobladder surgery were retrospectively reviewed the clinical data analysis. Results All patients were successfully completed operation therapy, postoperative follow-up of patients with no recurrence, daytime urinary continence in patients with good accounted for 94%, nocturnal urinary continence good accounted for 84%.Urinate unobstructed accounted for 21 cases, unsmooth accounted for 4 of cases; by B ultrasound examination, no dilatation of the upper urinary tract symptoms, cystography revealed no vesicoureteral reflux phenomenon appears. Conclusion Radical cystectomy with orthotopic ileal neobladder surgery was applied in the treatment of bladder cancer have a significant clinical effect, is an ideal treatment method, and should be widely applied clinically and promotion.

Radical cystectomyOrthotopic ileal neobladder surgeryBladder cancerClinical curative effect

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610000 四川省成都市双流县第二人民医院重症医学科

膀胱全切 原位回肠新膀胱术 膀胱癌 临床疗效

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(6)
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