Pazooki D, Edlund C, Karlsson A-K, Dahlstrand C, Lindholm E, Törnqvist H, Jonsson O
Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Spinal Cord. 2006 Jan;44(1):19-23. doi: 10.1038/sj.sc.3101811.
Retrospective study.
To examine the functional results and effect on quality of life of continent cutaneous urinary diversion in spinal cord injured patients.
Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden.
A total of 10 patients with spinal cord injury (SCI).
The patients were operated on with an ileal reservoir (Kock reservoir or T-pouch), Cr-EDTA clearance was determined preoperatively and at follow-up. The patients answered a questionnaire concerning reservoir function, various activities and quality of life. The patient charts were reviewed.
One patient died of pulmonary embolism 3 years after surgery. Two patients were reoperated on for reservoir perforation. All patients were satisfied/very satisfied with their reservoirs. Half of them reported improved ability to perform various activities. Eight out of nine patients reported improved quality of life.
For a selected group of patients with SCI, continent cutaneous urinary diversion provides successful outcome with improved quality of life.
回顾性研究。
探讨脊髓损伤患者可控性皮肤造口膀胱术的功能结果及其对生活质量的影响。
瑞典哥德堡萨尔格伦斯卡大学医院泌尿外科。
共10例脊髓损伤（SCI）患者。
患者接受回肠膀胱术（Kock膀胱或T型袋），术前及随访时测定Cr-EDTA清除率。患者回答了一份关于膀胱功能、各种活动及生活质量的问卷。查阅了患者病历。
1例患者术后3年死于肺栓塞。2例患者因膀胱穿孔再次手术。所有患者对其膀胱均满意/非常满意。其中一半患者报告进行各种活动的能力有所提高。9例患者中有8例报告生活质量有所改善。
对于特定的脊髓损伤患者群体，可控性皮肤造口膀胱术可取得成功结果并改善生活质量。
