Résumé
Objective To observe clinical curative effect of modified total cystectomy and Mainz Ⅱ neobladder. Methods Seventeen patients with bladder neoplasms were treated with modified total cystectomy and Mainz Ⅱ neobladder for urinary diversion. The paries posterior allantois with intestinum rectum and colon sigmoideum were taken 10 cm respectively, split the mesenterium edges, conduplicated and bilayer sutured from the junction of intestinum rectum and colon sigmoideum, bilateral ureters antireflux anastomosed respectively with colon sigmoideum and rectal papilla, then bilayer sutured paries anterior became Mainz allantois. Results There was no surgical mortality. The operative time was 340 ～ 420 mins (mean, 350 mins).Blood transfusion was 400 ～ 800 ml ( mean 600 ml). The follow-up was 4 ～ 18 months, urine and dejecta were shunt, uresis continence was fine and the operation had fewer severe complications. Conclusion Modified total cystectomy and Mainz Ⅱ neobladder to be an effective method for urinary diversion because of its simple operation, fewer severe complications, good uresis continence and high quality of life.
Résumé
Objective The discussion teffective treatment of chronic prostatitis/chronie pelvis ache syndrome.Methods Tela Zuo qin,in combination with traditional Chinese medicine,was used for treatment of 126 patients with chronic prostatitis/chronic pelvis ache syndrome.Results In 126 patients 82(65%)were cured,30(23.8%)alleviated,14(11.2%)invalid,with total effective rate being 88.8%.Conclusion Tela ZUO qin in combination with traditional Chinese medicine is effective in the treatment of chronic prostatitis/chronic pelvis ache syndrome.