膀胱上尿路改道术后残余膀胱的随访
Follow-up of the remaining bladder after supravesical urinary diversion.
作者信息
Granados E A, Salvador J, Vicente J, Villavicencio H
机构信息
Chief Section of Urologic Endoscopy, Puigvert Foundation, Barcelona, Spain.
出版信息
Eur Urol. 1996;29(3):308-11. doi: 10.1159/000473766.
OBJECTIVES
To review our experience in 14 patients who underwent supravesical urinary diversion maintaining their defunctionalized bladder in situ.
METHODS
A variety of pathological entities indicated surgery, including neurogenic bladder, urinary tuberculosis (with severely contracted bladder), interstitial cystitis, and retroperitoneal fibrosis.
RESULTS
Global analysis revealed a total of 11 patients (78.5%) who presented complications, the most frequent being mucopurulent and bloody secretions (28.5%), and painful bladder spasms (14.2%), followed by hemorrhage, pyocystis, hypogastric or urethral pain, and sepsis.
CONCLUSION
Two patients (14.2%) required hospitalization for treatment of complications. The majority of complications were treated successfully with bladder irrigations and antibiotics. One patient required total cystectomy secondary to pyocystis.
目的
回顾我们对14例患者进行膀胱上尿路改道并原位保留失功能膀胱的经验。
方法
多种病理情况表明需要手术，包括神经源性膀胱、肾结核（膀胱严重挛缩）、间质性膀胱炎和腹膜后纤维化。
结果
整体分析显示共有11例患者（78.5%）出现并发症，最常见的是黏液脓性和血性分泌物（28.5%）以及膀胱痉挛性疼痛（14.2%），其次是出血、膀胱积脓、下腹部或尿道疼痛以及脓毒症。
结论
2例患者（14.2%）因并发症需要住院治疗。大多数并发症通过膀胱冲洗和抗生素治疗成功。1例患者因膀胱积脓而行全膀胱切除术。
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