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根治性膀胱前列腺切除术后回肠新膀胱的放射学研究

[Radiologic study of the ileum-neobladder after radical cystoprostatectomy].

作者信息

Schumacher K A, Bader C, Weidenmaier W, Gschwend J

机构信息

Radiologische Klinik und Poliklinik, Universität Ulm.

出版信息

Rofo. 1991 May;154(5):550-4. doi: 10.1055/s-2008-1033183.

DOI:10.1055/s-2008-1033183
PMID:1852048
Abstract

The study reports on radiographic findings obtained from 70 male patients in whom, following radical cystoprostatectomy for carcinoma, an ileum neobladder was created. Morphological appearance and postoperative complications of this continent type of bladder replacement were documented by means of cystography, excretory urography, retrograde urethrography and CT. Specific complications rarely arose from suture insufficiencies of the neobladder itself (n = 3) or from the ileourethral anastomosis (n = 2). Stenoses occurred at the site of the ileourethral (n = 9) and the ureteroileal anastomosis (n = 2). Transient dilatation of the upper urinary tract was observed in the majority of patients. Non-specific complications included pelvic abscesses (n = 2), haematomas (n = 2), lymphoceles (n = 3), and ileus (n = 2).

摘要

该研究报告了70例男性患者在接受前列腺癌根治性膀胱前列腺切除术后行回肠新膀胱术的影像学检查结果。通过膀胱造影、排泄性尿路造影、逆行尿道造影和CT记录了这种可控性膀胱替代术的形态学表现和术后并发症。新膀胱本身缝合不足(n = 3)或回肠尿道吻合口(n = 2)很少出现特定并发症。回肠尿道吻合口(n = 9)和输尿管回肠吻合口(n = 2)出现狭窄。大多数患者观察到上尿路短暂扩张。非特异性并发症包括盆腔脓肿(n = 2)、血肿(n = 2)、淋巴囊肿(n = 3)和肠梗阻(n = 2)。

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