Fishwick J E, Gough D C, O'Flynn K J
Manchester Children's Hospitals, Royal Manchester Children's Hospital, Manchester, UK.
BJU Int. 2000 Mar;85(4):496-7. doi: 10.1046/j.1464-410x.2000.00514.x.
To examine the long-term effectiveness of the Mitrofanoff principle and establish if the catheterizing channel is sufficiently robust for long-term use.
Ten patients who had undergone Mitrofanoff reconstruction between 1989 and 1991 (minimum follow-up 10 years) were offered reinterview by one of the authors (J.F.), which involved a structured questionnaire assessing catheterization, continence and complications.
One patient had died; nine patients were alive and eight agreed to the structured interview. All the patients had their original stoma and all were completely continent. Four of the patients had experienced stenosis, four had had stones and four had been ill with urinary tract infection(s).
Despite the complications of infection, stones and some episodic stenosis, the Mitrofanoff channel remains functional for long periods without sustaining structural damage.
探讨米氏原理的长期有效性，并确定导尿通道是否足够坚固以长期使用。
1989年至1991年间接受米氏重建术的10名患者（最短随访10年）由作者之一（J.F.）进行再次访谈，其中包括一份评估导尿、控尿及并发症的结构化问卷。
1名患者死亡；9名患者存活，8名同意接受结构化访谈。所有患者均保留原造口，且均完全控尿。4名患者出现狭窄，4名有结石，4名曾患尿路感染。
尽管存在感染、结石及一些偶发性狭窄等并发症，但米氏通道仍能长期保持功能，且结构未受损。
