Witherington R, Mims W W
South Med J. 1978 Jan;71(1):23-7. doi: 10.1097/00007611-197801000-00008.
At our institution, 100 patients had ileal conduit diversion using the Pyrah technic between 1959 and 1975. The results of this technic compare favorably with those of other ileal conduit diversions, and it has the advantage of being somewhat shorter than the standard Bricker procedure. Sixty-seven were done because of benign lesions of the urinary tract and 33 were done as part of the planned treatment of various malignant conditions. We did 56 diversions in patients with neurogenic bladder dysfunction. There were 67 early and 69 late complications, and the complication rate was much higher in patients having preoperative irradiation. The most common complications were wound infections, pyelonephritis, ureteroileal anastomotic leaks or stricture, and stomal stenosis. The upper urinary tracts showed signs of progressive deterioration after diversion in 19% of patients. The operative mortality was 6%. The mortality was four times greater in the group with malignant conditions.
在我们机构，1959年至1975年间有100例患者采用皮拉技术进行回肠代膀胱术。该技术的结果与其他回肠代膀胱术相比具有优势，并且它比标准的布里克尔手术稍短。67例是由于泌尿系统良性病变而进行的，33例是作为各种恶性疾病计划治疗的一部分进行的。我们对56例神经源性膀胱功能障碍患者进行了改道术。有67例早期并发症和69例晚期并发症，术前接受放疗的患者并发症发生率要高得多。最常见的并发症是伤口感染、肾盂肾炎、输尿管回肠吻合口漏或狭窄以及造口狭窄。19%的患者改道后上尿路出现渐进性恶化迹象。手术死亡率为6%。恶性疾病组的死亡率高出四倍。
