Studer回肠新膀胱的手术改良探讨

The Investigations of Modified Operation on Studer Neobladder

摘要: 目的: 对Studer回肠新膀胱术进行技术改良并评价其临床效果。 方法: 采用根治性膀胱全切、改良Studer回肠新膀胱术治疗5例男性浸润性膀胱癌患者。 结果: 5例患者手术顺利。拔除尿管后4例患者恢复生理性排尿,1例不能自主排尿。随访6～12个月,4例患者昼夜控尿良好。5例患者静脉肾盂造影未见输尿管新膀胱吻合口狭窄及上尿路积水。 结论: 改良Studer回肠新膀胱术操作相对简单,手术并发症低,可以取得满意的临床效果。

Abstract: Objective :To evaluate the clinical outcome of modified Studer neobladder after radical cystectomy. Methods :Radical cystectomy and modified Studer neobladder operation were performed in 5 male patients with bladder cancer. Clinical outcome of these patients was evaluated. Results :All patients recovered smoothly. Four of the 5 patients achieved acceptable daytime and nighttime continence after following-up for 6-12 months. One patient can not urinate after the catheter withdrawal. No ureteral stenosis and dilation of upper urinary tract were found by intravenous pyelography during the follow- up. Conclusions :Our preliminary results show that modified operation on Studer neobladder is an easily performed urinary diversion with low surgery complication and satisfactory good clinical effect.