Schultz A, Talseth T
Urological department, Rikshospitalet, Oslo, Norway.
Scand J Urol Nephrol Suppl. 1996;179:93-6.
The experience with a continent urinary diversion in patients with dysfunction of the lower urinary tract is reported. The right detubularized colonic segment was used as urinary reservoir and an intussucepted ileal valve as outlet. Thirty seven patients were studied with a mean followup of 37 months. All patients except one were continent with a well-functioning diversion. The kidney function was not reduced in any of the patients and the acid-base balance was within normal limits. Twelve patients (32%) had had complications resulting in surgical revision. The majority were simple corrections, but 3 patients experienced a spontaneous perforation of the reservoir needing emergency laparotomy.
本文报告了下尿路功能障碍患者行可控性尿流改道的经验。采用右侧去管化结肠段作为贮尿囊，套叠回肠瓣作为出口。对37例患者进行了研究，平均随访37个月。除1例患者外，所有患者均能自主控尿，尿流改道功能良好。所有患者的肾功能均未下降，酸碱平衡均在正常范围内。12例患者（32%）出现并发症，需要手术修正。大多数是简单的矫正，但有3例患者的贮尿囊发生自发性穿孔，需要紧急剖腹手术。
