Meria P, Audry G, Bruézière J
Service de Chirurgie Viscérale, Pavillon Chigot, Hôpital Trousseau, Paris.
Ann Urol (Paris). 1992;26(4):246-55.
Whenever the reservoir function of the bladder is impaired (neuropathic bladder and exstrophy), an enterocystoplasty constitutes a satisfactory solution in children to enlarge the bladder. The various techniques must take into account the degree of alteration of the bladder. The bowel segment must be detubularized, regardless of its origin. The main challenge is to obtain adequate peripheral resistance with easy voiding and filling of the bladder without urine leak, particularly in boys. In girls, the combination of enterocystoplasty and Gobbel-Stockel procedure ensures perfect continence between two self-catheterisations.
每当膀胱的储尿功能受损（神经性膀胱和膀胱外翻）时，肠膀胱扩大术对于儿童扩大膀胱而言是一种令人满意的解决方案。各种技术必须考虑膀胱的改变程度。无论肠段的来源如何，都必须将其去管状化。主要挑战是要获得足够的外周阻力，使膀胱易于排尿和充盈且无尿液渗漏，尤其是在男孩中。在女孩中，肠膀胱扩大术与戈贝尔 - 施托克尔手术相结合可确保在两次自我导尿之间实现完美的控尿。
