使用改良脐部造口术减少阑尾膀胱造口术中的造口狭窄
Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma.
作者信息
Khoury A E, Van Savage J G, McLorie G A, Churchill B M
机构信息
Department of Surgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
出版信息
J Urol. 1996 Jun;155(6):2050-1.
PURPOSE
We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy.
MATERIALS AND METHODS
Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy.
RESULTS
Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases.
CONCLUSIONS
We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
目的
我们描述了一种改良脐造口的创建方法，作为使用阑尾膀胱造口术进行可控性尿流改道的一部分。
材料与方法
采用外翻-内翻原则为25例行阑尾膀胱造口术的患者创建脐造口。
结果
平均随访3年。所有病例脐造口的美容效果良好。8%的病例需要手术修正造口狭窄。
结论
我们推荐将改良脐造口技术用于阑尾膀胱造口术，因为它能实现良好的美容效果且不影响造口功能。
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