13例全膀胱切除术与膀胱刚道瘘患者以Modelski氏结肠直肠膀胱作尿路改道术。其中5例病人尿粪分隔良好。所有病人均有正常的肛门括约肌功能以控制尿失禁。3例有上行性感染,但2例以抗菌素迅速治愈,另1例半年后因肾盂积水及无法控制的上行感染死亡。高血氯性酸中毒仅在少数病人发生。 Thirteen patients undergoing total cystectomy and bladder ostomy were treated with Modelski’s colorectal bladder for urinary diversion. Among them, 5 cases of urinary excrement were well separated. All patients had normal anal sphincter function to control urinary incontinence. Three patients had an ascending infection, but two were rapidly cured with antibiotics and the other one died after six months due to hydronephrosis and uncontrollable ascending infection. Hyperchlorinated acidosis occurs only in a small number of patients.