松弛型神经源性膀胱的外科治疗  

Surgical treatment of relaxed type neurogenic urinary incontinence

作　　者：刘秋亮[1] 张大[1] 张谦[1] 夏自强[1] 杨合英[1] 范应中[1] 王家祥[1] 

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《山东医药》2007年第18期3-4,共2页Shandong Medical Journal

摘　　要：目的探讨松弛型神经源性膀胱的外科治疗方法。方法93例神经源性膀胱患者随机分为对照组(40例)和实验组(53例),对照组行回肠浆肌层补片膀胱包裹术联合双侧髂腰肌盆底加强术,实验组行改良后的膀胱部分切除回肠浆肌层补片修补术联合双侧髂腰肌盆底加强术,对比观察两组的治疗效果。结果实验组的疗效明显优于对照组．结论改良后的膀胱部分切除回肠浆肌层补片修补术联合双侧髂腰肌盆底加强术是治疗松弛型神经源性膀胱的有效手术方法。[Objective]To explore surgical therapy process of relaxed type neurogenic urinary incontinence. [Methods]contrasted and analyzed retrospectively the surgical therapeutic efficacy of 93 cases relaxed type neurogenic urinary incontinence.40 cases were performed the operation of bladder wrapping up by using demucosalized ileoseromuscular layer patch containing neurovascular pedicle,pelvic diaphragm strengthening with di-iliopsoas muscle(control group);53 cases were performed the operation of partial resection and neoplasty with demucosalized ileoseromuscular layer patch containing neurovascular pedicle,pelvic diaphragm strengthening with di-iliopsoas muscle(improve group).[Results]Therapeutic efficacy of the improved group was significantly better than that of control group in all the observed indexes.[Conclusion]Improved operation process of partial resection and neoplasty with demucosalized ileoseromuscular layer patch containing neurovascular pedicle,pelvic diaphragm strengthening with di-iliopsoas muscle is an effective surgical process.

关 键 词：神经源性尿失禁 外科疗法 

分 类 号：R694[医药卫生—泌尿科学]