Nguyen D H, Mitchell M E
Department of Urology, Children's Hospital and Medical Center, Seattle, Washington.
Urol Clin North Am. 1991 Nov;18(4):649-57.
Overall, stomach is an ideal tissue that is readily accessible for bladder augmentation or substitution. It has excellent muscle backing for antireflux and continence procedures. Its fibroelastic characteristics allow construction of a capacious and compliant reservoir. It has special merit in patients who have been irradiated by virtue of being rarely involved in the field of radiation; in patients with short bowel, because it usually is not associated with congenital abnormalities of the gastrointestinal tract; in patients with renal compromise and metabolic acidosis, because of its ability to secrete chloride and hydrogen ions; in patients with chronic urinary infections; and in patients with difficulty with catheterization because of excessive mucus.
总体而言，胃是用于膀胱扩大或替代的理想组织，易于获取。它具有出色的肌肉支撑，适用于抗反流和控尿手术。其纤维弹性特性有助于构建一个容量大且顺应性好的储尿囊。对于接受过放疗的患者，胃具有特殊优势，因为它很少受辐射影响；对于短肠患者，因为它通常与胃肠道先天性异常无关；对于肾功能不全和代谢性酸中毒患者，因为它有分泌氯离子和氢离子的能力；对于慢性泌尿系统感染患者，以及对于因黏液过多而导尿困难的患者，胃同样具有优势。
