Barron B J, Imam S, Lamki L, Redwine M D, Nightingale J A, Kahan B
Department of Radiology, The University of Texas-Houston Medical School, 77030, USA.
Clin Nucl Med. 1998 Mar;23(3):156-9. doi: 10.1097/00003072-199803000-00005.
Enterocystoplasty (bladder augmentation) is a method of increasing bladder capacity in patients with small or neurogenic bladders in order to prevent vesicoureteral reflux. In patients with poorly compliant bladders, enterocystoplasty, which consists of a segment of detubularized small bowel or a portion of the stomach attached to the bladder, often helps to reduce the intravesicular pressures, thus reducing the likelihood of infection. It is also useful in treating bladder dysfunction in children with end-stage renal disease who require renal transplantation. Radiographic evaluation of patients with a renal transplant and augmented bladder often can be confusing, and may suggest a urine leak or hematoma. We report a patient with a renal transplant, bladder augmentation, and rising serum creatinine who underwent renal scintigraphy and ultrasonography.
肠膀胱扩大术（膀胱扩大术）是一种增加小膀胱或神经源性膀胱患者膀胱容量以预防膀胱输尿管反流的方法。对于顺应性差的膀胱患者，肠膀胱扩大术，即将一段去管化的小肠或一部分胃与膀胱相连，通常有助于降低膀胱内压力，从而降低感染的可能性。它在治疗需要肾移植的终末期肾病儿童的膀胱功能障碍方面也很有用。肾移植和膀胱扩大患者的影像学评估常常令人困惑，可能提示尿漏或血肿。我们报告了一名肾移植、膀胱扩大且血清肌酐升高的患者，该患者接受了肾闪烁显像和超声检查。
