Gallucci M, Alpi G, Zaccara A, Frieri G, Latella G, Di Silverio F
Department of Urology, University La Sapienza, Rome, Italy.
Br J Urol. 1991 Oct;68(4):372-5. doi: 10.1111/j.1464-410x.1991.tb15353.x.
Twenty-four patients with internal urinary diversion following total bladder ablation underwent colonoscopic control of the uretero-enteric anastomoses. The techniques performed were: rectal bladder with colostomy according to Mauclaire (11 patients); rectal bladder with abdomino-perineal pull-through according to Heitz-Boyer/Hovelacque (6); ureterosigmoidostomy (7). The uretero-enteric anastomoses were divided into 3 categories according to the colonoscopic appearance: "nipple-like", nearly flat and flat anastomosis. Urographic examinations were carried out in all patients and the results demonstrated that the "nipple-like" anastomosis was the most successful for the preservation of upper urinary tract integrity.
24例全膀胱切除术后行尿流改道术的患者接受了输尿管肠吻合术的结肠镜检查。所采用的技术包括：根据Mauclaire法行结肠造口直肠膀胱术（11例患者）；根据Heitz - Boyer/Hovelacque法行腹会阴拖出式直肠膀胱术（6例）；输尿管乙状结肠吻合术（7例）。根据结肠镜检查外观，输尿管肠吻合术分为3类：“乳头样”、近乎平坦和扁平吻合。所有患者均进行了尿路造影检查，结果表明，“乳头样”吻合术在保留上尿路完整性方面最为成功。
