Shiomi T, Yamada K, Suemori T, Yamamoto M, Ozono S, Hirao Y, Okajima E
Department of Urology, Hoshigaoka Koseinenkin Hospital, Osaka, Japan.
J Urol. 1989 Feb;141(2):292-6. doi: 10.1016/s0022-5347(17)40744-0.
From 1978 to 1985, 57 myelodysplasia patients with urinary and defecatory dysfunction underwent surgical treatment by modified seromuscular ileal flap fixation to the bladder. Followup was 1 to 88 months. Bladder capacity did not decrease, and voiding time and urine flow rate significantly improved. A urinary substitute sensation appeared in 45 of 46 patients (97.8 per cent) and urinary incontinence improved in 36 of 37 (97.3 per cent). A fecal substitute sensation appeared in 31 of 46 patients (67.4 per cent) and constipation improved in 22 (47.8 per cent). Operative complications were encountered in 5 of 57 patients (8.8 per cent), including 3 cases of prolonged paralytic ileus, 1 obstructive ileus and 1 wound herniation. Modified seromuscular ileal flap fixation to the bladder appears to be indicated for patients with the lower type of neurogenic bladder with neither a low compliance bladder nor high grade vesicoureteral reflux.
1978年至1985年，57例患有排尿和排便功能障碍的骨髓发育异常患者接受了改良的浆肌层回肠瓣固定于膀胱的手术治疗。随访时间为1至88个月。膀胱容量未减少，排尿时间和尿流率显著改善。46例患者中有45例（97.8%）出现了尿替代感觉，37例中有36例（97.3%）尿失禁得到改善。46例患者中有31例（67.4%）出现了便替代感觉，22例（47.8%）便秘得到改善。57例患者中有5例（8.8%）出现手术并发症，包括3例麻痹性肠梗阻延长、1例机械性肠梗阻和1例伤口疝。改良的浆肌层回肠瓣固定于膀胱似乎适用于低顺应性膀胱和高级别膀胱输尿管反流均不存在的低位神经源性膀胱患者。
