Zhang Y H, Shao Q A, Wang J M
Department of Urology, Beijing Friendship Hospital, China.
J Urol. 1990 Nov;144(5):1194-5.
Neurogenic bladder is a frequent occurrence. A new surgical technique has been designed and was used successfully in 18 patients with ideal results. The key point of the operation is to turn over a flap of rectus abdominis muscle to envelop the bladder. Contraction of the muscle flap and the abdominal muscles would enhance voiding ability. In the meantime, the bladder is displaced forward and the resultant change in the bladder-posterior urethral angle also favors voiding. Since the bladder is near the anterior abdominal wall manual compression during voiding is made easier. All of these advantages greatly facilitate voiding.
神经源性膀胱很常见。一种新的外科技术已被设计出来，并成功应用于18例患者，效果理想。手术的关键在于翻转一块腹直肌瓣来包裹膀胱。肌瓣和腹部肌肉的收缩会增强排尿能力。同时，膀胱向前移位，膀胱-后尿道角度的改变也有利于排尿。由于膀胱靠近前腹壁，排尿时手动压迫更容易。所有这些优点都极大地促进了排尿。
