Merhej S, Masri H, Moukarzel M, Chelouhy E, Chaiban R, el-Khoury R, Kassardjian Z
Service d'Urologie, Hôtel-Dieu de France, Beyrouth, Liban.
J Med Liban. 1994;42(3):109-11.
An enterocystoplasty was done on 17 paraplegic adults patients (Beit Chahab Hospital for Handicapped) with hyperreflexic neurogenic bladder secondary to an accident of the supra-sacral medulla. These patients were incontinent, had urinary tract infections, vesico-renal reflux or autonomic dysreflexia. Detubularized ileum was used in 16 cases and sigmoid in one. Ureteral reimplantation was performed on one patient; implantation of an artificial urinary sphincter for one patient and an injection of a periurethral Teflon paste was also done for one patient. After 16 months of follow-up all patients are continent on self intermittent catheterization. The upper urinary tract is stable or improved. No autonomic dysreflexia. Thirteen patients have an asymptomatic untreated bacteriuria.
对17名截瘫成年患者（贝特·查哈卜残疾人医院）进行了肠膀胱扩大术，这些患者因骶上脊髓损伤继发高反射性神经源性膀胱。这些患者存在尿失禁、尿路感染、膀胱输尿管反流或自主神经反射异常。16例使用去管化回肠，1例使用乙状结肠。1例患者进行了输尿管再植术；1例患者植入了人工尿道括约肌，1例患者还注射了尿道周围聚四氟乙烯糊剂。经过16个月的随访，所有患者通过自我间歇性导尿实现了控尿。上尿路稳定或有所改善。无自主神经反射异常。13例患者有无症状未经治疗的菌尿。
