Chiang P H, Huang Y S, Wu W J, Tsai E M, Chiang C P
Department of Urology, Kaohsiung Medical College, Taiwan, Republic of China.
Kaohsiung J Med Sci. 1998 Mar;14(3):132-8.
Thirty-five patients receiving cystectomy underwent rectosigmoid pouch. The technique of ureteral submucous implantation was described. The follow-up results were analyzed. The relationship of postoperative voiding frequency and preoperative anal closure pressure was assessed. The day and night time continence rate is 97% (34/35). There were no hydronephrosis, no ureterocolonic stricture or reflux. The complications are not unique to rectosigmoid pouch and not high when compared with other forms of urinary diversion. When the preoperative anal closure pressure reaches nearly 100 cmH2O a postoperative outcome with good quality of life will be predicted. With the advantages of high continence rate and simplicity of performance the rectosigmoid pouch will become one of the alternative forms of continent urinary diversion. For obtaining the favorable results a patient with normal renal function, good hepatic function and anal closure pressure more than 50 cmH2O is required.
35例行膀胱切除术的患者接受了直肠乙状结肠膀胱术。描述了输尿管黏膜下植入技术。分析了随访结果。评估了术后排尿频率与术前肛门闭合压的关系。日夜控尿率为97%（34/35）。无肾积水、无输尿管结肠狭窄或反流。这些并发症并非直肠乙状结肠膀胱术所特有，与其他形式的尿流改道相比发生率也不高。当术前肛门闭合压接近100 cmH2O时，可预测术后生活质量良好。由于控尿率高和操作简单，直肠乙状结肠膀胱术将成为可控性尿流改道的替代形式之一。为获得良好效果，需要肾功能正常、肝功能良好且肛门闭合压超过50 cmH2O的患者。
