儿童皮肤输尿管造口术——长期随访

Cutaneous ureterostomy in children--long-term followup.

作者信息

MacGregor P S, Kay R, Straffon R A

出版信息

J Urol. 1985 Sep;134(3):518-20. doi: 10.1016/s0022-5347(17)47271-5.

Abstract

From 1963 to 1983, 45 children with benign disease underwent urinary diversion with cutaneous ureterostomy. Patient selection for cutaneous ureterostomy was predicted on the presence of at least 1 dilated ureter. Followup ranged from 4 months to 20 years, with a mean of 7.9 years. Of the patients 29 (64 per cent) had a minimum followup of 5 years and 18 (40 per cent) were followed for more than 10 years. Postoperative complications, results of followup excretory urography and the ultimate fate of these children were analyzed. The results demonstrate the usefulness of cutaneous ureterostomy as a permanent form of urinary diversion in selected children.

摘要

1963年至1983年期间，45例患有良性疾病的儿童接受了输尿管皮肤造口术进行尿液改道。选择进行输尿管皮肤造口术的患者前提是至少有1条输尿管扩张。随访时间从4个月至20年不等，平均为7.9年。其中29例（64%）患者至少随访了5年，18例（40%）患者随访时间超过10年。分析了术后并发症、随访排泄性尿路造影结果以及这些儿童的最终结局。结果表明，输尿管皮肤造口术作为特定儿童永久性尿液改道方式是有用的。