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ileal orthotopic
相关语句
  原位回肠
    A modified technique of total cystectomy and ileal orthotopic neobladder(report of 25 cases)
    改良原位回肠代膀胱术(附25例报告)
短句来源
    Ileal orthotopic neobladder(Report of 25 cases)
    原位回肠代膀胱术的疗效观察(附25例报告)
短句来源
    The modified technique of total cystectomy and ileal orthotopic neobladder for bladder tumor(Report of 12 cases)
    改良全膀胱切除原位回肠新膀胱术治疗膀胱癌的临床疗效(附12例报告)
短句来源
    Purpose:To present a 7 year experience with ileal orthotopic neobladders.
    目的 :观察 7年来行原位回肠代膀胱术的治疗效果。
短句来源
    Conclusion:An ileal orthotopic neobladder offers an attractive alternative to a bladder substitute when cystectomy is required.
    结论 :原位回肠代膀胱术是值得选择的尿流改道方式。
短句来源
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  回肠
    A modified technique of total cystectomy and ileal orthotopic neobladder(report of 25 cases)
    改良原位回肠代膀胱术(附25例报告)
短句来源
    Ileal orthotopic neobladder(Report of 25 cases)
    原位回肠代膀胱术的疗效观察(附25例报告)
短句来源
    Continent urinary diversion and ileal orthotopic neobladder (report of 68 cases)
    可控性膀胱术与回肠新膀胱术(附68例报告)
短句来源
    The modified technique of total cystectomy and ileal orthotopic neobladder for bladder tumor(Report of 12 cases)
    改良全膀胱切除原位回肠新膀胱术治疗膀胱癌的临床疗效(附12例报告)
短句来源
    Purpose:To present a 7 year experience with ileal orthotopic neobladders.
    目的 :观察 7年来行原位回肠代膀胱术的治疗效果。
短句来源
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  ileal orthotopic
We report 8 female patients with ileal orthotopic neobladders after cystectomy.
      
Ileal orthotopic neobladder in women: The first experiences from Turkey and our modifications
      
Dilatation of the upper urinary tract after ileal orthotopic bladder substitution is a frequent finding on the 5-min, 20-min, and 60-min films during the early postoperative period but is found only on the 20-min film 1 year and later after surgery.
      
Intravenous urograms (IVUs) performed preoperatively and at regular intervals postoperatively on 87 long-term survivors (minimum survival, 5 years) following ileal orthotopic bladder substitution were reviewed.
      
The aim of this study was to evaluate the appearance of the upper urinary tract following cystectomy and ileal orthotopic bladder substitution.
      
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Purpose:To present a 7 year experience with ileal orthotopic neobladders.Methods:An neobledder was constructed using an ileal segment with a“W” type. 23 of 25 cases of ileal neobladders have been followed up for 2 to 84 months with a mean of 24 months.Results:Operating time ranged from 150 to 310 minutes with a mean of 240 minutes.1 died of cancer metastasis. All patients were satisfactory with the operation except 3 cases. 23 patients achieved excellent daytime continent, while only 14 had...

Purpose:To present a 7 year experience with ileal orthotopic neobladders.Methods:An neobledder was constructed using an ileal segment with a“W” type. 23 of 25 cases of ileal neobladders have been followed up for 2 to 84 months with a mean of 24 months.Results:Operating time ranged from 150 to 310 minutes with a mean of 240 minutes.1 died of cancer metastasis. All patients were satisfactory with the operation except 3 cases. 23 patients achieved excellent daytime continent, while only 14 had nighttime continent. The maximal effective capacity of the neobladder was 200 to 550 ml with a mean of 310 ml.11 patients have taken place inguinal hernia and 1 suffered from incision hernia.3 cases had mild renal dysfunction. 2 patients had hypokalcemia. On IVU examination, failure of imaging of unilateral kidney occurred in 2 patients. 3 cases of patients had unilateral ureter extension or hydronephrosis. 5 cases had their residual urine volume over 50 ml, and 1 case had neobladder stone discovered by BUS. Voiding cystography revealed no ureteral reflux. No patient suffered from neobladder or urethral recurrence.Conclusion:An ileal orthotopic neobladder offers an attractive alternative to a bladder substitute when cystectomy is required.

目的 :观察 7年来行原位回肠代膀胱术的治疗效果。方法 :对 2 5例男性膀胱癌患者行膀胱全切回肠代膀胱术。结果 :2 5例患者中有 2 4例获得随访 ,随访时间 2~ 84个月 ,平均 2 4个月。手术时间平均 2 40 min,输血量平均 5 5 0 m l,手术并发症少 ,2 3例患者白天可控制排尿 ,其中 14例夜间自控排尿。 3例有肾脏或输尿管积水 ,2例肾功能异常。膀胱排尿造影均未发现输尿管反流。血生化检查除 2例发现低血钾外 ,其余血电解质均在正常范围。未发现肠膀胱或尿道肿瘤复发。结论 :原位回肠代膀胱术是值得选择的尿流改道方式。

Objective To evaluate the different methods of continent urinary diversion and the ileal orthotopic neobladder after total cystectomy. Methods 4 different kinds of continent urinary diversion were undertaken after total cystectomy for 68 cases.Continence and catheterization, volume and pressure of the reservoirs, image and hydroelectrolyte condition were investigated. Results Of the 3 cases with intussusceptive efferent tract,2 had partial deintussusception resulting in incontinence and had to...

Objective To evaluate the different methods of continent urinary diversion and the ileal orthotopic neobladder after total cystectomy. Methods 4 different kinds of continent urinary diversion were undertaken after total cystectomy for 68 cases.Continence and catheterization, volume and pressure of the reservoirs, image and hydroelectrolyte condition were investigated. Results Of the 3 cases with intussusceptive efferent tract,2 had partial deintussusception resulting in incontinence and had to be reoperated;44 cases with tapered terminal ileal efferent tract were continent and could be catheterized easily with 16~20F catheters, whereas only one case had difficulty in catheterization. 39 cases with detubularized and reshaped intestinal segment reservoirs, including 3 ileal,22 colonic and 14 ileocolonic, all achieved the demand of low intrareservoir pressure, whereas 8 cases operated in the early period had dilated reservoirs with a volume as large as 1 470~1 650 ml;8 cases with detenia cecocolonic reservoir had the volume of 430~600 ml and as intrareservoir pressure of 30~45 cmH 2O with peristalsis waves,2 of them had urine leakage in the early stage after operation.21 cases with ileal orthotopic neobladder had a volume of 350~480 ml and an intrareservoir pressure of 12~20 cm H 2O.1 being incontinent at daytime and 2 at night whereas all the others were continent. Conclusions Continent urinary reservoirs constructed by 30 cm detubularlized cecocolon can achieve the demand of low intrareservoir pressure.Detenial colonic reservoirs had more chance of urine leakage and adhesion, and higher intrareservoir pressure. Tapered terminal ileal efferent tract is better than ileal intussusception efferent tract for its excellent continence, large caliber, easy catheterization and fewer complications. Ileal orthotopic neobladder has the advantages of excellent continence, higher quality of life, but has limited indications.

目的 评价不同术式可控性膀胱术及回肠新膀胱术的疗效。 方法 对 6 8例膀胱全切除术后患者采用 4种可控性尿流改道及回肠新膀胱术式 ,术后对患者控尿、导 (排 )尿 ,贮尿囊容积、内压 ,影像学及血生化资料进行比较。 结果 回肠套叠式输出道 3例中有 2例部分脱套致术后尿失禁 ,需再次手术 ;缩窄末端回肠式输出道 44例控尿均良好 ,除 1例插管困难外余均能用 16~ 2 0F尿管自行导尿。去管折叠式贮尿囊 39例 ,其中回肠贮尿囊 3例、结肠 2 2例、回结肠 14例 ,能达到低压贮尿囊要求 ,但早期有 8例发生贮尿囊过度扩张 ,容量 1470~ 16 5 0ml;去带结肠贮尿囊 8例 ,容量 430~6 0 0ml,充盈压 30~ 45cmH2 O(1cmH2 O =0 .0 98kPa) ,有蠕动波 ,术后早期有 2例尿漏。回肠新膀胱2 1例 ,容量 35 0~ 46 0ml,充盈压 12~ 2 0cmH2 O ,日间尿失禁 1例 ,夜间尿失禁 2例 ,其余无尿失禁。 结论 盲升结肠 30cm剖开对折成形可控性膀胱可满足低压贮尿囊要求 ,去带结肠贮尿囊由于易发生术后尿漏或粘连 ,内压较高 ,不够理想。缩...

目的 评价不同术式可控性膀胱术及回肠新膀胱术的疗效。 方法 对 6 8例膀胱全切除术后患者采用 4种可控性尿流改道及回肠新膀胱术式 ,术后对患者控尿、导 (排 )尿 ,贮尿囊容积、内压 ,影像学及血生化资料进行比较。 结果 回肠套叠式输出道 3例中有 2例部分脱套致术后尿失禁 ,需再次手术 ;缩窄末端回肠式输出道 44例控尿均良好 ,除 1例插管困难外余均能用 16~ 2 0F尿管自行导尿。去管折叠式贮尿囊 39例 ,其中回肠贮尿囊 3例、结肠 2 2例、回结肠 14例 ,能达到低压贮尿囊要求 ,但早期有 8例发生贮尿囊过度扩张 ,容量 1470~ 16 5 0ml;去带结肠贮尿囊 8例 ,容量 430~6 0 0ml,充盈压 30~ 45cmH2 O(1cmH2 O =0 .0 98kPa) ,有蠕动波 ,术后早期有 2例尿漏。回肠新膀胱2 1例 ,容量 35 0~ 46 0ml,充盈压 12~ 2 0cmH2 O ,日间尿失禁 1例 ,夜间尿失禁 2例 ,其余无尿失禁。 结论 盲升结肠 30cm剖开对折成形可控性膀胱可满足低压贮尿囊要求 ,去带结肠贮尿囊由于易发生术后尿漏或粘连 ,内压较高 ,不够理想。缩窄末段回肠式输出道控尿效果好、内腔大、插管顺利、并发症少 ,明显优于回肠套叠输出道。回肠新膀胱术贮尿排尿功能良好 ,术后生活质量高 ,但应严格选择手术适应证。

Objective:To evaluate the microsurgical treatment of urinary calculi after intestinal bladder reconstruction.Methods:Four cases of post total cystectomy treated from April 2001 to February 2003 were reviewed. Two calculi were found in the right mid-ureter and the right kidney 19 months later and 48 months later with the detinia cecal-ascending colon continent urinary reservoir respectively. The remains calculi were found in the right ureter 28 months later and the ileal pouch neobadder 26 months later with ileal...

Objective:To evaluate the microsurgical treatment of urinary calculi after intestinal bladder reconstruction.Methods:Four cases of post total cystectomy treated from April 2001 to February 2003 were reviewed. Two calculi were found in the right mid-ureter and the right kidney 19 months later and 48 months later with the detinia cecal-ascending colon continent urinary reservoir respectively. The remains calculi were found in the right ureter 28 months later and the ileal pouch neobadder 26 months later with ileal orthotopic neobladder respectively. The clinical data of 4 cases were reviewed and discussed in combination with the relevant literature.Results:One calculus was shocked to pieces and moved to the coloneobladder by extracorporeal shock-wave lithotripsy (ESWL) with seldinger technique of pyeloureterography, another was fragmented by percutaneous nephrolithotomy (PNL), others were gotten ride of using by transurethral vesical Ho:YAG laser lithotripsy.Conclusions:It is fairy good and effective to carry out microsurgical techniques to urinary calculi after intestinal bladder reconstruction.

目的 :探讨肠膀胱重建术后尿路结石的微创治疗效果。方法 :报告 4例膀胱癌膀胱全切肠代膀胱术术后并发尿路结石患者的临床资料。结果 :1例行经皮肾穿刺肾盂输尿管造影定位下体外冲击波碎石术 ,结石粉碎并排至结肠膀胱 ;1例行经皮肾镜碎石术 ;另 2例行经尿道输尿管镜下钬激光碎石术 ,结石粉碎并取出。结论 :肠膀胱重建术后尿结石的发生与尿路感染和手术操作等因素有关 ,对可控膀胱术后上尿路结石可实施经皮肾镜取石术或尿路造影定位下ESWL治疗 ,原位回肠代膀胱术后尿路结石可实施腔内碎石治疗。

 
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