用于可控性尿流改道的新型肠道尿道括约肌的临床及尿动力学特征

Clinical and urodynamic features of a new intestinal urinary sphincter for continent urinary diversion.

作者信息

Koff S A, Cirulli C, Wise H A

机构信息

Department of Surgery, Ohio State University College of Medicine, Columbus.

出版信息

J Urol. 1989 Aug;142(2 Pt 1):293-6. doi: 10.1016/s0022-5347(17)38735-9.

DOI:10.1016/s0022-5347(17)38735-9

PMID:2664221

Abstract

We describe a new sphincter mechanism and its clinical application in 11 patients requiring continent diversion. The sphincter, composed of 2 short segments of ileum, is urodynamically responsive and actually increases its resistance to leakage when reservoir pressure or volume increases. Because of this dynamic continence control and its ease of construction, it appears to be a useful addition to the reconstructive urological armamentarium.

摘要

我们描述了一种新的括约肌机制及其在11例需要可控性尿流改道患者中的临床应用。该括约肌由两段短的回肠组成，具有尿动力学反应性，当储尿囊压力或容量增加时，其对漏尿的阻力实际上会增加。由于这种动态控尿能力及其易于构建的特点，它似乎是重建泌尿外科器械库中的一个有用补充。