Krishna A, Gough D C, Fishwick J, Bruce J
Division of Paediatric Urology, Royal Manchester Children's Hospital, UK.
Eur Urol. 1995;27(1):62-6. doi: 10.1159/000475126.
From 1987 to 1992, bladder augmentation using clam ileocystoplasty was performed in 39 children 1.5-17.5 years old (mean age 9.7 years). Indications for augmentation included neuropathic bladder, epispadias-exstrophy complex and posterior urethral valves. A satisfactory bladder capacity at safe storage pressures of < 20 cm saline was achieved in all patients. Hydroureteronephrosis resolved or improved in 33 of the 36 moieties (91.7%). No patient showed biochemical or radiological deterioration of the upper tracts. The incidence of symptomatic urinary tract infection fell significantly postoperatively. Seven patients (17.9%) developed a total of 10 complications, with rupture of the augmented bladder occurring in 4 patients (10.3%).
1987年至1992年期间，对39名年龄在1.5至17.5岁（平均年龄9.7岁）的儿童进行了采用蛤式回肠膀胱扩大术的膀胱扩大手术。扩大手术的适应症包括神经源性膀胱、尿道上裂-膀胱外翻综合征和后尿道瓣膜。所有患者在<20 cm盐水的安全储存压力下均获得了满意的膀胱容量。36个部分中的33个（91.7%）的肾盂积水得到缓解或改善。没有患者出现上尿路的生化或影像学恶化。术后有症状的尿路感染发生率显著下降。7名患者（17.9%）共出现10例并发症，其中4例患者（10.3%）发生了扩大膀胱破裂。
