目的　提高根治性膀胱全切除术后患者的生活质量。方法　对 6例膀胱癌患者行根治性膀胱全切除 ,并采用W型可控性回肠袋代膀胱术。结果　 6例术后随访 ,患者生活质量满意 ,代膀胱容量大 ,压力低 ,搞返流好 ,未出现电解质紊乱 ,白天能自控排尿 ,晚上无遗尿。结论　对保持正常的排尿习惯是一种可行的手术方法 Objective To improve the quality of life of patients after radical cystectomy. Methods Six patients with bladder cancer underwent radical cystectomy and W-controlled ileal pocket bladder replacement was performed. Results Six patients were followed up. The quality of life of the patients was satisfactory. The patients had large bladder capacity, low pressure, good reflux, no electrolyte disturbance, controlled urination during the day and no urinary incontinence at night. Conclusion It is a feasible surgical approach to maintaining normal urination habits