根治性膀胱切除术及回盲部膀胱重建术治疗膀胱癌。130例患者的研究。

Radical cystectomy and ileocaecal bladder reconstruction for carcinoma of the urinary bladder. A study of 130 patients.

作者信息

Khafagy M M, el-Kalawy M, Ibrahim A, Safa M, Meguid H A, Bassioni M

出版信息

Br J Urol. 1987 Jul;60(1):60-3. doi: 10.1111/j.1464-410x.1987.tb09135.x.

DOI:10.1111/j.1464-410x.1987.tb09135.x

PMID:3620847

Abstract

One hundred and thirty patients underwent radical cystectomy and ileocaecal bladder reconstruction for carcinoma of the urinary bladder. The actuarial 5-year survival rate was 45%. Local pelvic recurrence was noted in 26.3% of patients. Most of those in the series (81.9%) had perfect control of micturition. Intravenous urography performed up to 10 years post-operatively showed preservation of renal configuration in 92.2%. The normal flow curves recorded showed that it was possible to achieve a balanced vesicourethral unit. Ileocaecal bladder reconstruction is less disabling than urinary diversion after radical cystectomy.

摘要

130例膀胱癌患者接受了根治性膀胱切除术及回盲部膀胱重建术。精算5年生存率为45%。26.3%的患者出现局部盆腔复发。该系列中的大多数患者（81.9%）排尿控制良好。术后长达10年进行的静脉尿路造影显示，92.2%的患者肾脏形态保持正常。记录的正常血流曲线表明，实现膀胱尿道单位平衡是可能的。根治性膀胱切除术后，回盲部膀胱重建造成的功能障碍比尿路改道少。