Department of Urology, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1373, Houston, TX 77030, USA.
Urol Clin North Am. 2010 Nov;37(4):581-92. doi: 10.1016/j.ucl.2010.07.003.
Management of the neurogenic bladder with an incontinent stoma is necessary in situations in which intermittent catheterization via the urethra or a continent stoma is not feasible. Cutaneous ureterostomy, vesicostomy, ileal conduit, and ileovesicostomy have all been used for this purpose. Vesicostomy is most commonly used as a temporizing measure in the pediatric neurogenic population. Both ileal conduit, with or without cystectomy, and ileovesicostomy have contemporary roles in the management of the neurogenic bladder.
对于无法通过尿道间歇性导尿或使用可控性尿流改道术的患者，需要对神经原性膀胱进行管理。为此，可采用经皮输尿管造口术、膀胱造口术、回肠导管术和回肠膀胱术。膀胱造口术是儿科神经源性膀胱患者常用的临时治疗措施。回肠导管术（包括或不包括膀胱切除术）和回肠膀胱术在神经原性膀胱的治疗中均具有当代作用。
