Department of Urology, Affiliated Hospital and Clinical Medical College of Chengdu University, Chengdu, Sichuan, China.
Medical College of Soochow University, Suzhou, Jiangsu, China.
Kaohsiung J Med Sci. 2022 Aug;38(8):790-795. doi: 10.1002/kjm2.12561. Epub 2022 May 24.
We assessed the use of common urodynamics (CUD) combined with contrast-enhanced ultrasound (CEUS) to investigate the efficacy and durability of sigmoid cystoplasty alone in patients with low bladder compliance associated with vesicoureteric reflux (VUR). In this study, we recruited 25 patients with low bladder compliance and VUR who underwent bladder augmentation without antireflux surgery at our institutions between June 2017 and June 2021. The bladder condition and VUR grade were assessed preoperatively and postoperatively via CUD combined with CEUS. The mean follow-up period was 2.6 years. CUD showed significant improvement in bladder capacity and compliance and a decrease in intravesical pressure after sigmoid cystoplasty. CEUS demonstrated resolution of VUR compared with preoperative assessment. Of the 25 patients who had various degrees of reflux, VUR was eliminated in 18 patients and reduced to a lower grade in the remaining seven patients. CUD combined with CEUS is accurate and safe. They are invaluable and reliable tools for morphological and functional evaluations of the entire urinary tract in patients with low bladder compliance and VUR.
我们评估了常规尿动力学（CUD）联合对比增强超声（CEUS）在单独使用乙状结肠膀胱扩大术治疗低膀胱顺应性合并膀胱输尿管反流（VUR）患者中的疗效和耐久性。在这项研究中，我们招募了 25 名低膀胱顺应性和 VUR 患者，他们于 2017 年 6 月至 2021 年 6 月在我们的机构接受了膀胱扩大术而未行抗反流手术。通过 CUD 联合 CEUS 对术前和术后的膀胱状况和 VUR 分级进行评估。平均随访时间为 2.6 年。CUD 显示乙状结肠膀胱扩大术后膀胱容量、顺应性显著改善，膀胱内压降低。CEUS 显示 VUR 与术前评估相比得到缓解。在 25 名有不同程度反流的患者中，18 名患者的反流完全消除，其余 7 名患者的反流程度降低。CUD 联合 CEUS 准确、安全。它们是评估低膀胱顺应性合并 VUR 患者整个尿路形态和功能的有价值且可靠的工具。
