中国全科医学2012，Vol.15Issue(35)：4136-4137,4139,3.DOI:10.3969/j.issn.1007-9572.2012.12.067
经皮下潜行隧道输尿管皮肤造口术的初步经验探讨
Primary Experience on Ureterocutaneostomy Through Sub-cutaneous Tunnel as Urinary Diversion after Radical Cystectomy
石永福 1方克伟 2王伟 1李宁1
作者信息
- 1. 650101,云南省昆明市,昆明医科大学第二附属医院泌尿外科
- 2. 650101,云南省昆明市,昆明医科大学第二附属医院泌肾外科
- 折叠
摘要
Abstract
Objective To evaluate the safety and effect of a new ureterocutaneostomy through sub - cutaneous tunnel after radical cystectomy. Methods Clinical data ( including operative complications, postoperative recovery and life quality and fistula replacement) of 8 patients underwent a new cutaneous ureterostomy after radical cystectomies in our hospital from September 2007 to November 2011 were retrospectively analyzed. Results All the operations were performed successfully without obvious operative complications. During the 3 to 38 months (11 months in average ) following up, two cases died of cancer metastasis in 6 months and 24 months after operation while other cases survived without cancer. Two cases had high fever due to poor drainage of urine and were cured after changing the tube. One case could be only inserted with F7 single J tube but could not be inserted with F10 silicon tube. After operation, the case was successfully inserted with F12 silicon tube. Other 7 cases could be inserted with F10 or F12 tube. Conclusion Compared with traditional cutaneous ureterostomy, this method has lower rate of narrow fistula and can easily change fistula, so it should be recommended in clinic.关键词
膀胱肿瘤/膀胱切除术/尿流改道术/输尿管皮肤造口术Key words
Urinary bladder neoplasms/ Radical cystectomy/ Urinary diversion/ Cutaneous ureterostomy分类
医药卫生引用本文复制引用
石永福,方克伟,王伟,李宁..经皮下潜行隧道输尿管皮肤造口术的初步经验探讨[J].中国全科医学,2012,15(35):4136-4137,4139,3.
