腹会阴联合直肠癌切除术后的膀胱功能。对一系列连续病例进行手术前后的尿动力学研究。
Bladder function after abdominoperineal resection of the rectum for anorectal cancer. Urodynamic investigation before and after operative in a consecutive series.
作者信息
Gerstenberg T C, Nielsen M L, Clausen S, Blaabjerg J, Lindenberg J
出版信息
Ann Surg. 1980 Jan;191(1):81-6. doi: 10.1097/00000658-198001000-00016.
Abstract
In a consecutive series of 26 patients (10 men and 16 women) undergoing abdominoperineal resection of the rectum, cystometry and pressure-flow-EMG measurements were made preoperatively and three and 6-12 months after operation. Two patients developed neurogenic bladder paresis (7.7%, 95% c.l. 1-25%). Men with even slight complaints of bladder outlet obstruction preoperatively ran a risk of postoperative aggravation demanding surgery. In women no significant changes in micturition patterns were found. It is concluded that urinary flow measurement and cystometry should be available as minimum screening procedures after abdominoperineal resection of the rectum to detect bladder dysfunction at an early stage.
摘要
在连续26例接受直肠腹会阴切除术的患者（10名男性和16名女性）中，术前以及术后3个月和6 - 12个月进行了膀胱测压和压力 - 流率 - 肌电图测量。2例患者出现神经源性膀胱麻痹（7.7%，95%置信区间1 - 25%）。术前即使有轻微膀胱出口梗阻主诉的男性，术后有病情加重需要手术的风险。女性排尿模式未发现明显变化。结论是，直肠腹会阴切除术后，应将尿流测量和膀胱测压作为最低限度的筛查程序，以便早期发现膀胱功能障碍。
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