Alemayehu H M, Hornák M, Bárdos A
Department of Urology, Comenius University School of Medicine, Bratislava, Slovakia.
Int Urol Nephrol. 1994;26(4):443-6. doi: 10.1007/BF02768016.
Recently, bladder replacement with intestinal reservoir is becoming more common as urinary diversion in a selected group of patients after radical cystectomy. Complications occurred in two patients, 2 and 7 months, respectively, after successful radical cystoprostatectomy and reconstruction of the ileal neobladder, due to chronic ischaemic changes of the latter. Their clinical manifestations and management are discussed. Some of the possible potential mechanisms responsible for ischaemic changes of the reservoir are reviewed.
近来，在根治性膀胱切除术后特定患者群体中，采用肠道贮尿囊进行膀胱替代作为尿流改道术正变得越来越普遍。在成功进行根治性膀胱前列腺切除及回肠新膀胱重建术后，分别于2个月和7个月时，两名患者出现了并发症，原因是后者发生了慢性缺血性改变。文中讨论了其临床表现及处理方法。还综述了贮尿囊缺血性改变的一些可能潜在机制。
