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[回肠膀胱扩大术治疗先天性脊髓脊膜膨出患者下尿路功能障碍]

[Ileocystoplasty in the treatment of lower urinary tract dysfunction in patients with congenital myelomeningocele].

作者信息

Beier-Holgersen R, Kirkeby L T, Nordling J

机构信息

Kirurgisk urologisk afdeling H., Københavns Amts Sygehus i Herlev.

出版信息

Ugeskr Laeger. 1991 Aug 26;153(35):2425-6.

PMID:1949245
Abstract

The therapeutic results in eight patients with congenital myelomeningocele and neuromuscular dysfunction of the lower urinary tract are presented. Urodynamic assessment was performed preoperatively and post-operatively. Ileocystoplasty was performed on all of the patients. The postoperative results were good in seven out of eight patients in whom urodynamic assessment reveals a low-pressure reservoir which functions well. All of the patients employ clean intermittent self catheterization and, employing this treatment, they are continent with stable renal function.

摘要

本文介绍了8例先天性脊髓脊膜膨出并伴有下尿路神经肌肉功能障碍患者的治疗结果。术前和术后均进行了尿动力学评估。所有患者均接受了回肠膀胱扩大术。在8例患者中,7例术后结果良好,尿动力学评估显示储尿囊压力低且功能良好。所有患者均采用清洁间歇性自家导尿,采用这种治疗方法,他们能够保持膀胱自控且肾功能稳定。

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