Ge L Z
Linyi Prefectural Tumor Hospital, Shandong.
Zhonghua Wai Ke Za Zhi. 1992 Apr;30(4):231-3, 255-6.
New bladder and urethra were reconstructed by transplanting the ileocecum with appendix and part of the ascending colon. Ileocecal valve was used to prevent urine reflux into the ureters. The appendix and its seromuscular layer were used as "sphincter muscle" to prevent overflow of urine in the cecum. From March, 1988, to October, 1991, 38 cases of carcinoma of bladder were treated by this way. Follow-up for 0.5 to 3.5 years showed that the reconstructed bladder had large capacity, good urination function, no electrolyte disorder, urine reflux and infection of renal pelvis.
通过移植带阑尾的回盲部和部分升结肠重建新的膀胱和尿道。利用回盲瓣防止尿液反流至输尿管。阑尾及其浆肌层用作“括约肌”以防止尿液在盲肠内溢出。1988年3月至1991年10月,采用此方法治疗膀胱癌38例。随访0.5至3.5年显示,重建膀胱容量大、排尿功能良好,无电解质紊乱、尿液反流及肾盂感染。