根治性膀胱切除术后尿流改道方式的比较
| 作者: |
1徐航杰,
1付宜鸣
1 哈尔滨医科大学附属第一医院泌尿外科，哈尔滨 150001 |
| 通讯: |
付宜鸣
Email: 734019372@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.10.034 |
摘要
膀胱癌是目前泌尿系统常见的恶性肿瘤。近年来，膀胱根治性切除术+盆腔淋巴结清扫术是治疗肌层浸润性及部分高危非肌层浸润性膀胱癌的金标准，目前国内常见的尿流改道方式主要为回肠膀胱术、原位回肠新膀胱术及输尿管皮肤造口术，这些方式各有优点，应根据患者的具体情况和术者对术式的熟练程度进行选择。
关键词：
尿流改道；根治性膀胱切除术；回肠膀胱；原位回肠新膀胱；输尿管皮肤造口
Comparison of different urinary diversion patterns after radical cystectomy
CorrespondingAuthor: FU Yiming Email: 734019372@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.10.034
Abstract
Bladder cancer is a common malignancy in the urinary system. In recent years, radical cystectomy and pelvic lymphadenectomy are the gold standard for the treatment of muscular invasiveness and some high-risk non-muscle invasive bladder cancers, and the current domestic urinary diversion methods are mainly ileal cystectomy, ileal neobladder and ureteral skin ostomy. Each of these methods has advantages and should be selected according to the patient’s specific conditions and the surgeon's proficiency level.
Keywords：
urinary diversion; radical cystectomy; orthotopic ileal neobladder; ureteral skin stomas; ilea conduit