Martínez-Sagarra J M, Amón Sesmero J H, Alonso D, Estébanez Zarranz J, Amo Garcia J A, Calleja J
Servicio de Urología, Hospital Río Hortega, Valladolid, España.
Arch Esp Urol. 1992 Nov;45(9):951-3.
One of the aims of bladder substitution or augmentation using the intestine is to preserve renal function. If reflux impairs renal function, an antireflux mechanism should be attempted. Direct ureteroileal reimplantation with spatulation of the ureter is safer and carries a lower risk of stenosis. The antireflux mechanism is created by ileoileal or ileocecal intussusception without involvement of the ureter. Thus we can diminish the risk of stenosis and reflux at the same time.
使用肠道进行膀胱替代或扩大的目的之一是保护肾功能。如果反流损害肾功能,应尝试建立抗反流机制。输尿管膀胱再植术并对输尿管进行裁剪更为安全,且狭窄风险更低。抗反流机制是通过回肠-回肠或回肠-盲肠套叠形成的,而不涉及输尿管。因此,我们可以同时降低狭窄和反流的风险。