胃代膀胱术后膀胱功能评价  

Evaluation of bladder function after gastrocystoplasty

作　　者：刘朝东[1] 陈在贤[1] 马笑光[1] 王增产[1] 

机构地区：[1]重庆医科大学临床学院泌尿外科,重庆400016

出　　处：《重庆医科大学学报》2004年第6期851-852,共2页Journal of Chongqing Medical University

摘　　要：目的 :评价胃代膀胱术后膀胱功能。方法 :对 38例胃代膀胱术后患者行随访和尿流动力学检查。结果 :38例患者中 ,排尿间隔时间 :3.2± 1.7h ,排尿量 :32 0± 112ml,最大尿流率 19.3± 7.2ml。贮尿期膀胱压 :11.2± 7.8cmH2 O ,排尿期膀胱内最大压 :5 8± 2 1cmH2 O ,排尿期膀胱逼尿肌压 :2 8± 13cmH2 O ,尿失禁及遗尿 12例 ,有残余尿者 11例。残余尿量 5 5± 34ml。结论 :胃代膀胱术后膀胱贮尿功能良好 ,其排尿功能主要是在腹压的帮助下完成 ,膀胱的感觉和尿道括约肌功能障碍是患者尿失禁、遗尿的常见原因。Objective:To evaluate the function of bladder after gastrocystoplasty.Methods:38 patients after gastrocystoplasty were analyzed by observing the micturition and examination of urodynamics and to investigate the function of bladder during the filling and the micturition.Results:In the 38 patients,voiding interval time was 3.2±1.7hours;unirary output was 320±110ml;maximual flow rate was 19±7.2 ml per second;intravcsical pressure during filling was 11.2±8.2 cmH 2O;maximual intravesical pressure during voiding was 58±21 cmH 2O;and maximual pressure of detrusor was 28±12 cmH 2O.In total 38 cases,residual urine was observed in 11 cases,and residual volume was 55±34ml.12 cases developed uracratia or enuresis.Conclusion:Filling function of bladder is satisfactory after gastrocystoplasty,the micturition is carried out mainly by the action of intra-abdominal pressure.The disturbance of function of the sensation of bladder and the urethral sphincter is possibly the common cause for uracratia or enuresis.

关 键 词：胃代膀胱术 膀胱功能 尿动力学 功能评价 

分 类 号：R622[医药卫生—整形外科] R694[医药卫生—外科学]