Johnson H W, Nigro M K, Tearle H J, MacNeily A E
Department of Surgery, British Columbia Children's Hospital, Vancouver, Canada.
J Urol. 1992 Jun;147(6):1656-8. doi: 10.1016/s0022-5347(17)37672-3.
In a rabbit model we describe and compare two continent catheterizable diversion techniques for which the bladder is intact and the stoma is situated in the lower abdomen. Both mechanisms are formed from a short segment of ileum; one utilizes the principles of the encircling loop technique as described by Koff and the second, the Kock principle (intravesical nipple). Both models were evaluated for the following parameters: ease of catheterization (87%, 79% respectively), continence (91%, 86% respectively), and ease of construction. We present evidence that both techniques are applicable to the clinical setting.
在一个兔模型中，我们描述并比较了两种可控性膀胱替代技术，这两种技术中膀胱均保持完整，造口位于下腹部。两种技术均由一小段回肠构成；一种利用了Koff所描述的环绕袢技术原理，另一种利用了Kock原理（膀胱内乳头）。对两种模型的以下参数进行了评估：导尿的难易程度（分别为87%、79%）、控尿能力（分别为91%、86%）以及构建的难易程度。我们提供的证据表明，这两种技术均适用于临床环境。
