去带可控盲结肠膀胱术的疗效观察（附30例报告）

目的 评价去带可控盲结肠膀胱术的疗效。方法 采用膀胱全切去带可控盲结肠膀胱术治疗膀胱癌30例。结果 30例随访8－40个月。1年后贮尿囊容量360－580ml，贮尿囊内最大压力19．5－78．5cmH2O。白天完全可控28例，可控率93％；夜间完全可控27例，可控率90％。贮尿囊造影及IVU显示单侧输尿管狭窄并肾脏轻度积水1例，无输尿管返流。血清电解质及肾功能正常。结论 去带可控盲结肠膀胱术操作简单，并发症少，疗效可靠，是一种较理想的尿流改道方法。

Detenia cecocolon contient urinary reservoir (report of 30 cases)

Objective　To evaluate the detenia cecocolon urinary reservoir for 30 patients with bladder cancer after total cystectomy.　Methods　A detenia continent cecocolon urinary reservoir was constructed for 30 patients with bladder cancer after total cystectomy.　Results　The patients have been followed up for 8～40 months. The capacity of the reservoir has been 360～580 ml with a maximum pressure of 19.5～78.5 cmH2O one year later .Good continence has been achieved during day-time in 93% and at night in 90%. Unileteral ureter stenosis and slight hydronephrosis was found on ultrasonography，IVU and pouch photography in 1 case. There has been no evidence of ureter reflux or impairment of renal function and serum electrolytes have been normal in all.　Conclusions　Detenia continent cecocolon pouch is fairly good for urinary diversion and the technique is simpler, easier with minimal complications.