Keetch D W, Basler J W, Kavoussi L R, Catalona W J
Division of Urologic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Urology. 1993 Jun;41(6):507-10. doi: 10.1016/0090-4295(93)90094-q.
In 1980, Mitrofanoff described a method of achieving continent urinary diversion by surgically closing the bladder neck and creating a continent catheterizable stoma from the appendix, which had been implanted in a non-refluxing manner into the bladder, or from a non-refluxing distal ureter. We describe a modification of the Mitrofanoff procedure for continent urinary diversion in 7 children in whom a standard Mitrofanoff procedure was not possible due to either body habitus or appendiceal anatomy. All 7 patients are continent both day and night. Four have required stomal revisions. Renal function has remained stable or improved in all patients. Although the revision rate was high, this modification of the Mitrofanoff principle has provided good long-term results in these patients and may be useful when patient's anatomy does not allow the creation of a standard appendicovesicostomy.
1980年，米特罗法诺夫描述了一种实现可控性尿流改道的方法，即通过手术关闭膀胱颈，并利用阑尾（已以抗反流方式植入膀胱）或抗反流的输尿管远端创建一个可控的可插管造口。我们描述了对7名儿童进行可控性尿流改道的米特罗法诺夫手术的一种改良方法，这些儿童因身体体型或阑尾解剖结构的原因无法进行标准的米特罗法诺夫手术。所有7名患者日夜均能实现控尿。4名患者需要进行造口修复。所有患者的肾功能均保持稳定或有所改善。尽管修复率较高，但这种对米特罗法诺夫原则的改良在这些患者中取得了良好的长期效果，并且当患者的解剖结构不允许创建标准的阑尾膀胱造口术时可能会有用。
