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我院自1960年至1983年共行尿流改道手术82例,其中直肠膀胱术39例,占尿流改道手术的47.6％。本文就直肠膀胱术的优、缺点,手术适应症,年龄、原发病与手术疗效的关系,以及直肠一输尿管返流及其它并发症的防治,结合有关文献加以分析报告如下。临床资料 1.性别和年龄男性25例,女性14例。年龄最小者6岁,最大者67岁。 2.原发疾病多发性或浸润广泛的膀胱肿瘤20例(占51％),难以修复或修复后失败的膀胱外翻10例(占26％);结核性挛缩膀胱合并膀胱阴道瘘,或膀胱阴道瘘多次修复失败以及难以修复者7例(18％);结核性挛缩膀胱合并严重尿道狭窄者2例(占5％)。
Our hospital from 1960 to 1983, a total of 82 cases of urinary diversion surgery, including 39 cases of rectal bladder surgery, urinary diversion surgery accounted for 47.6%. This article on the advantages and disadvantages of rectum bladder surgery, surgical indications, age, the relationship between the primary disease and the efficacy of surgery, and rectal and ureteral reflux and other complications prevention and treatment, combined with the relevant literature to analyze the report are as follows. Clinical data 1 gender and age 25 males and 14 females. The youngest is 6 years old, the oldest is 67 years old. 2. Primary disease Multiple or extensive infiltration of bladder tumors in 20 cases (51%), difficult to repair or repair failed bladder eversion in 10 cases (26%); tuberculous contracture bladder vesico-vaginal fistula, or bladder Vaginal fistula repair failed and difficult to repair in seven cases (18%); tuberculous contracture bladder with severe urethral stricture in 2 cases (5%).