Desmond A D, Shuttleworth K E
Br J Urol. 1977 Nov;49(6):495-502. doi: 10.1111/j.1464-410x.1977.tb04190.x.
Out of a total of 78 patients with multiple sclerosis who underwent urological assessment, 12 (15%) were treated by ileal loop diversion. The results of surgery were highly satisfactory in spite of a high incidence of postoperative complications. The surgical trauma that occurs from the operation does not necessarily result in neurological deterioration of the patient. The only absolute contra-indication to urinary diversion is decubitus ulceration. Urinary diversion should be considered much earlier in the treatment of incontinence in multiple sclerosis rather than offered as a last resort.
在接受泌尿外科评估的78例多发性硬化症患者中，有12例（15%）接受了回肠袢转流术治疗。尽管术后并发症发生率较高，但手术结果非常令人满意。手术造成的外科创伤并不一定会导致患者神经功能恶化。尿流改道的唯一绝对禁忌证是褥疮溃疡。在多发性硬化症尿失禁的治疗中，应更早地考虑尿流改道，而不是作为最后的手段。
