盲肠阑尾膀胱造口术：用于可控性尿路重建的管道延长技术。
Cecoappendicovesicostomy: conduit-lengthening technique for use in continent urinary reconstruction.
作者信息
Bruce R G, McRoberts J W
机构信息
Department of Surgery, University of Kentucky Chandler Medical Center, University of Kentucky Children's Hospital, Lexington, USA.
出版信息
Urology. 1998 Oct;52(4):702-4. doi: 10.1016/s0090-4295(98)00316-1.
OBJECTIVES
To describe a conduit-lengthening technique for use in continent cutaneous appendicovesicostomy (Mitrofanoff procedure).
METHODS
Fifteen consecutive patients (4 male, 11 female) with a mean age of 14.2 years underwent tubularized cecal augmentation as a means to lengthen the catheterizable conduit while performing continent cutaneous appendicovesicostomy.
RESULTS
All patients successfully underwent appendiceal lengthening by tubularizing the cecum, thus creating a continent cutaneous cecoappendicovesicostomy. With a mean follow-up of 18.7 months, all patients have a working catheterizable conduit. One case of stomal stenosis occurred, producing a 6.7% conduit-related complication rate.
CONCLUSIONS
Cecoappendicovesicostomy is a safe and useful means of conduit lengthening for patients undergoing continent cutaneous appendicovesicostomy (Mitrofanoff procedure).
目的
描述一种用于可控性皮肤阑尾膀胱造口术（米氏手术）的管道延长技术。
方法
连续15例患者（4例男性，11例女性），平均年龄14.2岁，在进行可控性皮肤阑尾膀胱造口术时，采用盲肠管状化扩大术来延长可插管管道。
结果
所有患者均通过盲肠管状化成功实现阑尾延长，从而创建了可控性皮肤盲肠阑尾膀胱造口术。平均随访18.7个月，所有患者的可插管管道均能正常使用。发生1例造口狭窄，管道相关并发症发生率为6.7%。
结论
对于接受可控性皮肤阑尾膀胱造口术（米氏手术）的患者，盲肠阑尾膀胱造口术是一种安全且有用的管道延长方法。
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