Noe H N, Jerkins G R
J Urol. 1985 Aug;134(2):301-3. doi: 10.1016/s0022-5347(17)47134-5.
Cutaneous vesicostomy has proved to be a useful form of temporary diversion in children. We report our experience with 35 patients who underwent diversion for either lower tract dysfunction or obstruction. In only 1 child did vesicostomy appear to be of questionable value in adequately draining the upper urinary tracts. Renal functional improvement or stabilization was observed in the remaining 34 children. Complications occurred in 14 patients, with urinary tract infections of a clinically serious nature being observed in 6. Our experience tends to confirm vesicostomy to be an effective, simple and easily reversible means to treat selected conditions in infants and children. Complications are encountered but they have been managed effectively.
皮肤膀胱造口术已被证明是儿童临时尿流改道的一种有用方式。我们报告了35例因下尿路功能障碍或梗阻而接受尿流改道的患者的经验。只有1名儿童的膀胱造口术在充分引流上尿路方面似乎价值存疑。其余34名儿童的肾功能得到改善或稳定。14例患者出现并发症，其中6例观察到临床上严重的尿路感染。我们的经验倾向于证实膀胱造口术是治疗婴幼儿特定病症的一种有效、简单且易于逆转的方法。虽然会遇到并发症，但都得到了有效处理。
