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自控膀胱可以分为以下几类:①利用肛门括约肌控制排尿,如直肠膀胱或乙状结肠膀胱。②利用尿道括约肌控制排尿,如 Camey 手术、结肠段尿道吻合术、胃膀胱术、膀胱再生术等.③腹壁造口、自行导尿的手术,如 Kock Pouch 手术、自控回盲肠膀胱术等。④人工膀胱替代。本文试对 KockPouch 手术予以评价,并就其优缺点与其它尿流改道方法进行比较。一、Kock Pouch 自控回肠膀胱成形术瑞典的 Kock 等在为溃疡性结肠炎患者施行结肠切除、回肠腹壁造口术时,为了控制排便设计了这一手术.首先用于泌尿外科完成第一例自控回肠膀胱(即 Kock Pouch)的是 Leisinger 等。随后此
Controlled bladder can be divided into the following categories: ① the use of anal sphincter control urination, such as the rectum bladder or sigmoid bladder. ② use of urethral sphincter control urination, such as Camey surgery, colon urethral anastomosis, stomach bladder surgery, bladder regeneration, etc .. ③ abdominal stoma, self catheterization surgery, such as Kock Pouch surgery, self-control cecum Bladder surgery. ④ artificial bladder replacement. This article attempts to evaluate KockPouch surgery and compare its advantages and disadvantages with other urinary diversion methods. First, Kock Pouch self-controlled ileal bladder surgery Sweden Kock et al in the ulcer colitis patients undergoing colon resection, ileal abdominal wall ostomy, in order to control defecation designed this surgery first completed for the first case of urology control Ileum bladder (ie Kock Pouch) is Leisinger and so on. Followed by this