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[一种治疗麻痹性神经源性膀胱的外科新方法]

[A new method for the surgical treatment of paralytic neurogenic bladder].

作者信息

Lavrinenko V S, Giuliamer'iants V A, Gol'din E A

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1988 Jan-Feb(1):33-6.

PMID:2966532
Abstract

As a result of topographo-anatomical examination of 30 cadavers, the authors suggest a new method for the surgical management of the paralytic form of neurogenic bladder developing in traumatic injury of the lumbar-sacral segments of the spinal cord or the cauda equina roots. The method consists in remuscularization of the neurogenic bladder by means of grafts formed from the lateral parts of the rectus abdominis muscles together with the inferior epigastric vessels supplying them. The method was used in operations of 14 patients. The period of restoration of controlled micturition ranged from 3 to 4 weeks. The volume of residual urine did not exceed 50 ml and reduced to zero with time. The outbreaks of pyelonephritis ceased.

摘要

通过对30具尸体进行地形解剖学检查,作者提出了一种新的手术方法,用于治疗因脊髓腰骶段或马尾神经根创伤性损伤而导致的麻痹性神经源性膀胱。该方法是利用腹直肌外侧部分连同供应它们的腹壁下血管形成的移植物对神经源性膀胱进行肌肉重建。该方法应用于14例患者的手术中。自主排尿恢复的时间为3至4周。残余尿量不超过50毫升,且随时间推移减少至零。肾盂肾炎的发作停止。

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[A new method for the surgical treatment of paralytic neurogenic bladder].[一种治疗麻痹性神经源性膀胱的外科新方法]
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