Venn S N, Mundy A R
Guy's Hospital and Institute of Urology, London, UK.
Eur Urol. 1998;34 Suppl 1:40-2. doi: 10.1159/000052275.
To present the long-term results and complications of augmentation cystoplasty.
267 patients underwent augmentation cystoplasty with a minimum follow-up of 3 years.
Patients with neuropathic bladders had a 78% continence rate with cystoplasty alone increasing to 90% with the addition of an artificial urinary sphincter. Patients undergoing cystoplasty for detrusor instability had a 93% continence rate. The complications of this procedure include bacteriuria, absorption disorders, stones and the potential risk of malignancy.
The overall results of continence with augmentation cystoplasty are excellent. Long-term follow-up is required to ensure prompt treatment of the complications.
介绍膀胱扩大术的长期结果及并发症。
267例患者接受了膀胱扩大术，最少随访3年。
神经性膀胱患者单纯膀胱扩大术的控尿率为78%，加用人造尿道括约肌后增至90%。因逼尿肌不稳定接受膀胱扩大术的患者控尿率为93%。该手术的并发症包括菌尿、吸收障碍、结石以及潜在的恶性肿瘤风险。
膀胱扩大术的总体控尿效果极佳。需要进行长期随访以确保对并发症进行及时治疗。
