McFarlane I P, Foley S J, Shah P J
Spinal Injuries Unit, Royal National Orthopaedic Hospital Trust, Stanmore, UK.
Br J Urol. 1996 Nov;78(5):729-32. doi: 10.1046/j.1464-410x.1996.11911.x.
To evaluate the long-term efficacy of a permanently implanted urethral stent in the treatment of spinally injured patients with detrusor-sphincter dyssynergia.
Twelve patients underwent external sphincter stenting in our institution between 1988 and 1990. They were reviewed at least annually and investigated with serial urodynamic and ultrasonographic studies.
Ten patients were followed for at least 5 years. Two patients required stent removal and five patients developed bladder neck obstruction requiring surgical intervention. There were no problems with stent migration, ulceration or infection.
Stenting is an effective alternative to sphincterotomy in the long-term, although secondary bladder neck obstruction is a frequent problem.
评估永久性植入尿道支架治疗脊髓损伤所致逼尿肌-括约肌协同失调患者的长期疗效。
1988年至1990年间，12例患者在我院接受了外括约肌支架置入术。至少每年对他们进行复查，并通过系列尿动力学和超声检查进行评估。
10例患者随访至少5年。2例患者需要取出支架，5例患者出现膀胱颈梗阻，需要手术干预。未出现支架移位、溃疡或感染问题。
长期来看，支架置入术是括约肌切开术的一种有效替代方法，尽管继发性膀胱颈梗阻是一个常见问题。
