小儿下尿路重建中胃与其他肠道段的联合应用。
Stomach in combination with other intestinal segments in pediatric lower urinary tract reconstruction.
作者信息
McLaughlin K P, Rink R C, Adams M C, Keating M A
机构信息
Department of Urology, Indiana University School of Medicine, J. W. Riley Hospital for Children, Indianapolis, USA.
出版信息
J Urol. 1995 Sep;154(3):1162-8.
PURPOSE
We report the results of combining gastric and ileal segments in a small group of predominantly pediatric patients.
MATERIALS AND METHODS
We retrospectively reviewed the records of 6 children and 1 adult who underwent lower urinary tract reconstruction using stomach and ileum, including 3 simultaneous and 4 staged procedures. Followup was 13 to 59 months.
RESULTS
No patient had deterioration of renal function due to impaired upper tract drainage. One patient had an episode of hyponatremia during a gastrointestinal illness. The adult has the hematuria-dysuria syndrome and receives omeprazole. No ulceration developed in the 6 evaluable patients.
CONCLUSIONS
The combined use of stomach and ileum has been effective in this small group of challenging patients. Long-term followup is mandatory.
目的
我们报告了在一小群主要为儿科患者中联合使用胃段和回肠段的结果。
材料与方法
我们回顾性分析了6例儿童和1例成人患者的记录，这些患者接受了使用胃和回肠进行的下尿路重建手术，包括3例同期手术和4例分期手术。随访时间为13至59个月。
结果
没有患者因上尿路引流受损而出现肾功能恶化。1例患者在胃肠道疾病期间发生了低钠血症。该成人患有血尿-排尿困难综合征，正在接受奥美拉唑治疗。6例可评估患者均未出现溃疡。
结论
在这一小群具有挑战性的患者中，联合使用胃和回肠已取得了良好效果。必须进行长期随访。
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