Cumming J, Worth P H, Woodhouse C R
St Peter's Hospitals, London.
Br J Urol. 1987 Sep;60(3):227-30. doi: 10.1111/j.1464-410x.1987.tb05488.x.
Two types of continent urinary diversion are compared. In six patients a Kock pouch was used. Two were completely successful but the other four patients required 10 revision operations between them and only two achieved complete continence. In seven patients a Mitrofanoff operation was done. The results were much better and six achieved complete continence with only three revision operations in two patients. It was concluded that the Kock pouch was more difficult and where possible the Mitrofanoff operation should be used to form a continent suprapubic catheterisable stoma.
对两种可控性尿流改道术进行了比较。6例患者采用了Kock贮尿囊。2例完全成功，但其他4例患者共需要10次修复手术，只有2例实现了完全控尿。7例患者进行了米氏手术。结果要好得多，6例实现了完全控尿，仅2例患者进行了3次修复手术。得出的结论是，Kock贮尿囊操作更困难，应尽可能采用米氏手术来形成可控性耻骨上可导尿造口。
