膀胱壁带蒂包绕吊带治疗儿童神经源性尿失禁
Bladder wall pedicle wraparound sling for neurogenic urinary incontinence in children.
作者信息
Kurzrock E A, Lowe P, Hardy B E
机构信息
Department of Urology, Children's Hospital Los Angeles, California 90054, USA.
出版信息
J Urol. 1996 Jan;155(1):305-8.
PURPOSE
To improve the results of current bladder neck reconstruction a modification was developed to provide tapering, circumferential compression and suspension of the bladder neck.
MATERIALS AND METHODS
Nine female and 15 male patients with spinal dysraphism and incontinence, despite intermittent catheterization and pharmacotherapy, and low outlet resistance underwent surgery. The procedure involves wrapping a pedicle strip of anterior bladder wall around the bladder neck and suspending it to the pubic symphysis.
RESULTS
All 9 girls are completely continent, whereas 10 boys are dry and 5 have stress incontinence after 9 to 14 months of followup. Subjective symptoms correlate with changes in leak point pressure.
CONCLUSIONS
This technique is an efficacious addition to bladder augmentation in female patients with poor compliance and low outlet resistance.
目的
为改善当前膀胱颈重建的效果，研发了一种改良方法，以实现膀胱颈的逐渐变细、圆周压缩和悬吊。
材料与方法
9例女性和15例男性脊柱裂合并尿失禁患者，尽管进行了间歇性导尿和药物治疗，但出口阻力较低，接受了手术。该手术包括将膀胱前壁的带蒂条带包裹在膀胱颈周围，并将其悬吊至耻骨联合。
结果
所有9名女孩均完全控尿，而10名男孩术后干爽，5名男孩在9至14个月的随访后出现压力性尿失禁。主观症状与漏点压力的变化相关。
结论
对于顺应性差和出口阻力低的女性患者，该技术是膀胱扩大术的有效补充。
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