Dounis A, Gow J G
Br J Urol. 1979 Aug;51(4):264-8. doi: 10.1111/j.1464-410x.1979.tb04706.x.
Fifty-nine patients who had undergone augmentation cystoplasty were studied over a period of 18 years. The indications for the operation were a tuberculous contracted bladder in 51, interstitial cystitis in 7 and carcinoma in 1. The ileum was used in one patient, the colon in 16 and the caecum in 42. The results did not seem to be influenced by the segment of bowel and the long-term results of using the colon as bladder substitute were similar to those achieved by using the caecum. An excellent result has been achieved in 78% of the 49 surviving patients. Operative mortality was 5.1% (3 patients). Contraindications include progressive severe renal failure, enuresis and a history of previous psychiatric disturbance.
对59例行膀胱扩大成形术的患者进行了为期18年的研究。手术指征为结核性挛缩膀胱51例,间质性膀胱炎7例,膀胱癌1例。1例患者使用回肠,16例使用结肠,42例使用盲肠。结果似乎不受肠段的影响,使用结肠作为膀胱替代物的长期效果与使用盲肠相似。49例存活患者中有78%取得了优异的效果。手术死亡率为5.1%(3例患者)。禁忌证包括进行性严重肾衰竭、遗尿和既往有精神障碍病史。