神经原性膀胱与不可控性尿流改道

The neurogenic bladder and incontinent urinary diversion.

机构信息

Department of Urology, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1373, Houston, TX 77030, USA.

出版信息

Urol Clin North Am. 2010 Nov;37(4):581-92. doi: 10.1016/j.ucl.2010.07.003.

DOI:10.1016/j.ucl.2010.07.003

PMID:20955909

Abstract

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.

摘要

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。