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Three hundred and seventy patients were admitted for treatment of cryp-torchidism from 1967 through 1987. Three hundred and sixteen cases (428 testes) were reviewed.Three hundred and thirty-three orchldopexy operations were Performed. One hundred and fifty-one testes were taken down and fixed with dortos pouch to the inner side of the thigh. Eight testes were moved and fixed to subcutaneous tissue of the abdominal wall owing to shortness of the spermatic vessels. The authors put forward using Bj ultrasound... Three hundred and seventy patients were admitted for treatment of cryp-torchidism from 1967 through 1987. Three hundred and sixteen cases (428 testes) were reviewed.Three hundred and thirty-three orchldopexy operations were Performed. One hundred and fifty-one testes were taken down and fixed with dortos pouch to the inner side of the thigh. Eight testes were moved and fixed to subcutaneous tissue of the abdominal wall owing to shortness of the spermatic vessels. The authors put forward using Bj ultrasound plus ven-ography to lecate nonpalpable testes.The optimal age for operation is 2 years. At operation, absence of testis was considered established only when blind ending spermatic vessels were identified. Since fertility function may be improved by orchidopexy, one should be very careful to decide to do orchi-ectomy. 1967年2月~1987年10月间,有370名患者因隐睾症入院。本文总结其中316例428侧隐睾的诊断经验及390侧手术体会,提出不能触及的隐睾症适于先以B型超声作为初步筛选,再行经皮精索内静脉造影检查可明确定位诊断,并避免对无睾者行不必要的手术探查。肉膜囊固定法是近十几年来采用的一种新术式,采用此种术式的151例侧隐睾手术效果较好。 4 cases of Indiana Continent Ileocolic Urinary Reservoir (Indiana Pouch) are reported, which are the first 4 patients undergoing this procedure in our country. All patients with bladder cancers had a desire and willingness to take on the added responsibility of a continent reservoir because of the condition of their diseases and got a satisfactory result postoperatively. The patients catheterized the stoma every 3 to 4 hours with 300 to 400ml, the greatest volume of catheterization was 500ml. On urodynamic... 4 cases of Indiana Continent Ileocolic Urinary Reservoir (Indiana Pouch) are reported, which are the first 4 patients undergoing this procedure in our country. All patients with bladder cancers had a desire and willingness to take on the added responsibility of a continent reservoir because of the condition of their diseases and got a satisfactory result postoperatively. The patients catheterized the stoma every 3 to 4 hours with 300 to 400ml, the greatest volume of catheterization was 500ml. On urodynamic evaluations of the continent reservoir the pressure did not reach more than 20cm of water and remained within the normal level of the bladder pressure until the capacity of the reservoir was reached. The patients were able to master the clean intermittent self-catheterization easily. There was no leakage between two catheterizations and no metabolic disorder. The patients do not need any urinary bags and can lead a normal social life. 本文报告了4例国内尚未开展的可控回结肠膀胱成形术,近期观察疗效满意。4例均为膀胱癌患者,术后3~4小时自行导尿1次,300ml~400ml,最大容量达500ml。膀胱内压:400ml时为15~19cmH_2O。术后无尿失禁,无代谢紊乱,不挂尿袋,生活方便。 A modified technique of intestinostoplasty for bladder substitution was performed in 10 patients of blsader cancer after radical cystoctomy. among them there were 6 cases of low presure ileal bladder. An isolated segment of iloum about 40 am in length was opened on its antimesenteric border for making a pouch and its nddpoint was anatomosed to the membranous urethra or to the prostatic apex. The two ureters were implanted to the posterior wall of the pouch. All patients have been followed up for... A modified technique of intestinostoplasty for bladder substitution was performed in 10 patients of blsader cancer after radical cystoctomy. among them there were 6 cases of low presure ileal bladder. An isolated segment of iloum about 40 am in length was opened on its antimesenteric border for making a pouch and its nddpoint was anatomosed to the membranous urethra or to the prostatic apex. The two ureters were implanted to the posterior wall of the pouch. All patients have been followed up for 11 -54 months and could void via the urethra without incontinence. No significant residual urine and reflux occured. Blood urea nitrogen and electrolyes have been detected and compared before and after surgery showing no abnormality in 9 patients. 介绍10例膀胱癌根治性全膀胱切除术后行肠代膀胱术,其中回肠袋代膀胱术6例。回肠袋与前列腺包膜或膜尿道吻合,输尿管与回肠袋行套入式吻合。随访11-54个月,全部病人均可经尿道自控排尿,无明显残余尿,膀胱造影无输尿管返流。9例血尿素氮与术前比较无明显增加,血电解质在正常范围。
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