Leng W W, Blalock H J, Fredriksson W H, English S F, McGuire E J
Division of Urology, University of Texas-Houston Medical School, USA.
J Urol. 1999 Mar;161(3):758-63.
We review our experience with enterocystoplasty and detrusor myectomy to delineate clinical indications and compare operative outcomes with both types of bladder augmentation.
Retrospective analysis of 61 patients who had undergone a total of 37 detrusor myectomies and 32 enterocystoplasties was performed. The patients were categorized into 6 diagnostic subsets representative of the clinical spectrum of indications for bladder augmentation.
For most clinical indications detrusor myectomy offered comparable success or significant improvement in bladder function without incurring the significant complication rate of enterocystoplasty.
Detrusor myectomy is a safe, successful method of bladder augmentation for most clinical indications. Myectomy does not hinder subsequent creation of an enterocystoplasty.
我们回顾了我们在肠膀胱扩大术和逼尿肌切除术方面的经验，以明确临床适应症，并比较两种膀胱扩大术的手术效果。
对61例患者进行回顾性分析，这些患者共接受了37例逼尿肌切除术和32例肠膀胱扩大术。患者被分为6个诊断亚组，代表膀胱扩大术适应症的临床范围。
对于大多数临床适应症，逼尿肌切除术在膀胱功能方面提供了相当的成功率或显著改善，且未出现肠膀胱扩大术的高并发症发生率。
对于大多数临床适应症，逼尿肌切除术是一种安全、成功的膀胱扩大术方法。肌切除术不妨碍随后进行肠膀胱扩大术。
