Jung P, Jakse G
Urologic Clinic of the Medical Faculty, RWTH Aachen, Germany.
Urol Int. 1996;57(3):175-9. doi: 10.1159/000282905.
By creating continent supravesical diversions or continent vesicostomies, various methods of continence mechanism can be distinguished. They all are based on the principle that the pressure in the conduit is higher than in the reservoir. Twenty-eight patients with various urinary diversions and different continence mechanisms were followed up by clinical investigation, questioning and urodynamic evaluation. The latter showed similar results with regard to efferent loop pressure. The best results concerning easy catheterization and safe continence are reached by appendix stoma and tapered ileum.
通过创建可控性膀胱上尿流改道术或可控性膀胱造瘘术，可以区分出各种控尿机制的方法。它们均基于导管内压力高于储尿囊内压力这一原理。通过临床调查、询问和尿动力学评估，对28例采用不同尿流改道术及不同控尿机制的患者进行了随访。尿动力学评估在传出襻压力方面显示出相似的结果。阑尾造口术和锥形回肠术在导尿简便性和控尿安全性方面取得了最佳效果。
