Mollard P, Romagny G, MPONFORT G, Maréchal J M, Meunier P, Mélère G
J Urol Nephrol (Paris). 1975 Jun;81(6):349-58.
Of a total of 176 cases of spina bifida observed from a urological standpoint, we detected an infra-vesical obstruction in 27, the diagnosis being based upon urological findings alone: dysuria, residue and infection. The 11 boys had a disorder of the striated sphincter justifying sphincterotomy, the technique and results of which are discussed, in terms of symptoms and signs resulting from the obstruction, with respect to continence and the effects on the upper tract. 16 of our patients were female and the nature of the infra-vesical obstruction was far more uncertain. A disorder of the striated sphincter was present in the girl treated by a Y-V plasty of the anterior aspect of the bladder neck passing low down on the anterior aspect of the urethra. We also present results relating to residue, retention, dysuria, continence and the upper urinary tract. Overall, these results are too recent and difficult and no definite conclusions may be drawn.
从泌尿外科角度观察的176例脊柱裂病例中，我们发现27例存在膀胱下梗阻，诊断仅基于泌尿外科检查结果：排尿困难、残余尿量及感染。11名男孩存在横纹括约肌功能障碍，需行括约肌切开术，本文将讨论该手术的技术及结果，包括梗阻所致症状和体征、控尿情况及对泌尿系统上段的影响。我们的患者中有16名女性，膀胱下梗阻的性质则更难确定。一名接受膀胱颈Y-V成形术的女孩存在横纹括约肌功能障碍，该手术切口位于尿道前方较低位置。我们还给出了残余尿量、尿潴留、排尿困难、控尿及泌尿系统上段的相关结果。总体而言，这些结果的观察时间尚短，且情况复杂，目前无法得出明确结论。
