Henriet M P, Neyra P, Elman B
Methodist Hospital, Lyon, France.
J Urol. 1991 Jul;146(1):16-20. doi: 10.1016/s0022-5347(17)37703-0.
Between April 1985 and January 1989, 135 consecutive patients underwent construction of a Kock pouch (to the skin in 72 patients, a urethral pouch in 45, an ileorectal pouch in 10 and a hemi-Kock pouch augmentation cystoplasty in 8). The operative mortality (30 days) rate was 4.4%. There were 16 early complications (12.4%) leading to 14 reoperations (11%), with a followup of 6 to 60 months. After Kock pouch to the skin, the late complication rate was 26.1% in the Kock-Skinner technique group and 7.4% in the simplified technique group, and 94.2% of the patients were continent. After a urethral Kock pouch daytime continence was achieved in 93% of the patients within 2 months and nighttime dryness was noted in 65% within 3 months. After an ileorectal Kock pouch all patients were continent day and night, as were those after hemi-Kock pouch augmentation, although 5 of the latter patients required intermittent catheterization.
1985年4月至1989年1月期间，135例连续患者接受了Kock贮袋构建术（72例构建至皮肤，45例构建为尿道贮袋，10例构建为回直肠贮袋，8例构建为半Kock贮袋扩大膀胱成形术）。手术死亡率（30天）为4.4%。有16例早期并发症（12.4%），导致14例再次手术（11%），随访时间为6至60个月。Kock贮袋构建至皮肤后，Kock-Skinner技术组的晚期并发症发生率为26.1%，简化技术组为7.4%，94.2%的患者控尿良好。构建尿道Kock贮袋后，93%的患者在2个月内实现白天控尿，65%的患者在3个月内夜间无遗尿。构建回直肠Kock贮袋后，所有患者日夜控尿良好，半Kock贮袋扩大膀胱成形术后的患者也是如此，不过后一组中有5例患者需要间歇性导尿。
