Dewan P A
Urology Unit, Royal Children's Hospital, Parkville, Victoria, Australia.
World J Urol. 1998;16(4):255-61. doi: 10.1007/s003450050063.
Autoaugmentation demucosalized enterocystoplasty has been developed from the combination of the autoaugmentation technique, the use of the stomach and colon for bladder augmentation and the ability of the bowel and stomach to survive the removal of their epithelial lining. The initial combined approach used the stomach as the source of muscle, with the colon subsequently being used as an alternative. The operations have been applied in the laboratory and clinically, giving good results for bladder augmentation with both sources of enteric muscle, more reliably so and with a greater ease of separation of the mucosa when stomach muscle is used. There is hope that further research will improve the outcome of what is a technically challenging procedure.
自体扩大去黏膜肠膀胱扩大术是由自体扩大技术、利用胃和结肠进行膀胱扩大以及肠道和胃在去除上皮内衬后仍能存活的能力相结合发展而来的。最初的联合方法使用胃作为肌肉来源,随后结肠被用作替代。这些手术已在实验室和临床中应用,使用两种肠肌来源进行膀胱扩大均取得了良好效果,使用胃肌时效果更可靠,且黏膜分离更容易。人们希望进一步的研究将改善这一技术上具有挑战性的手术的结果。