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儿童神经源性尿失禁的尿道延长及再植术

Urethral lengthening and reimplantation for neurogenic incontinence in children.

作者信息

Kropp K A, Angwafo F F

出版信息

J Urol. 1986 Mar;135(3):533-6. doi: 10.1016/s0022-5347(17)45728-4.

DOI:10.1016/s0022-5347(17)45728-4
PMID:3944902
Abstract

We describe our experience with a urethral lengthening-reimplantation operation for the correction of incontinence in 13 myelomeningocele children, 11 of whom had failed to achieve continence on a program of intermittent clean catheterization. The procedure involves lengthening the urethra by formation of a bladder tube, which is reimplanted back into the bladder through a submucosal tunnel. This procedure allows a catheter to be passed but prevents urine from leaking. All of the operated cases are included. All of the children are out of diapers and socially dry. Followup ranged from 8 to 36 months and the problems encountered are described.

摘要

我们描述了对13例脊髓脊膜膨出患儿进行尿道延长-再植手术以纠正尿失禁的经验,其中11例在间歇性清洁导尿方案下未能实现控尿。该手术包括通过形成膀胱管来延长尿道,然后通过黏膜下隧道将其重新植入膀胱。此手术允许导尿管通过,但可防止尿液渗漏。纳入了所有接受手术的病例。所有患儿均已不再使用尿布,社交场合下保持干爽。随访时间为8至36个月,并描述了所遇到的问题。

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Urethral lengthening and reimplantation for neurogenic incontinence in children.儿童神经源性尿失禁的尿道延长及再植术
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