Zuluaga Gómez A, Miján Ortiz J L, De la Fuente Serrano A, García Victor F, Pareja Vilchez M
Departamento de Cirugía, Servicio de Urología, Hospital Clínico Universitario, Granada.
Actas Urol Esp. 1990 Jan-Feb;14(1):14-7.
We have had occasion to treat 8 patients suffering from tuberculous microbladder on whom we carried out augmentation plasty with a segment of ileum according to Ring-plasty technique in 6 cases, and with U-morphology in the other two, all displayed as the main symptom increase in mictional frequency. Six patients were subjected to prior tuberculostatic treatment. Mictional frequency improved in all patients. We observed morphological improvement in seven patients and functional improvement in four, there was one death, in a patients who had only been having prior tubculostatic treatment for one month. Daytime continence was achieved in al cases and there was nocturnal incontinence in five patients. U or ring ileocystoplasties are simple fast techniques displaying good capacity with low pressures and residua of less than 80 cc. No vesicourethral reflux was observed when we carried out the reimplantation.
我们曾有机会治疗8例结核性小膀胱患者,其中6例根据环形整形技术用一段回肠进行扩大成形术,另外2例采用U形整形,所有患者的主要症状均为排尿频率增加。6例患者接受了抗结核治疗。所有患者的排尿频率均有所改善。我们观察到7例患者形态改善,4例功能改善,有1例死亡,该患者仅接受了1个月的抗结核治疗。所有病例均实现白天可控,5例患者存在夜间失禁。U形或环形回肠膀胱成形术是简单快捷的技术,容量良好,压力低,残余尿量少于80 cc。我们进行再植时未观察到膀胱输尿管反流。