Bruce R R, Gonzales E T
J Urol. 1980 Jun;123(6):927-8. doi: 10.1016/s0022-5347(17)56196-0.
Urinary diversion is not often required in children. Initial enthusiasm for permanent forms of diversion, especially intestinal conduits, has tempered recently with improved reconstructive techniques and the initiation of intermittent catheterization in the management of neurogenic bladder. However, occasionally, temporary diversion still affords the best means of preserving renal function and allowing ultimate reconstruction in a child with uropathology. In our experience vesicostomy has been a successful and simple procedure for temporary diversion in selected children with vesical or urethral disorders. The technique is simple, tubeless, easy to manage and readily reversible. We have reviewed 24 vesicostomies performed in children at our institution during the last 5 years. The results have been overwhelmingly successful and satisfactory. Cutaneous vesicostomy is our preferred form of diversion in selected children who suffer complications of bladder dysfunction until the potential of the bladder can be determined and a definitive plan of management can be established. The specific surgical technique as well as results and complications are discussed.
儿童通常不需要进行尿流改道。随着重建技术的改进以及在神经源性膀胱管理中开始采用间歇性导尿，最初对永久性尿流改道形式（尤其是肠道造瘘管）的热情最近有所降温。然而，偶尔情况下，临时尿流改道仍是保护肾功能并允许对患有泌尿系统疾病的儿童进行最终重建的最佳方法。根据我们的经验，膀胱造瘘术对于患有膀胱或尿道疾病的特定儿童来说，是一种成功且简单的临时尿流改道手术。该技术简单、无管、易于管理且易于逆转。我们回顾了过去5年在我们机构为儿童进行的24例膀胱造瘘术。结果非常成功且令人满意。对于患有膀胱功能障碍并发症的特定儿童，在确定膀胱的潜力并制定明确的管理计划之前，皮肤膀胱造瘘术是我们首选的尿流改道形式。本文讨论了具体的手术技术以及结果和并发症。
