可控膀胱造瘘术治疗成人肾源性尿崩症所致巨输尿管-巨膀胱综合征1例报道  

作　　者：付启忠[1] 杨建勋[1] 吕光耀[1] 董圣芳[1] 刘颖[1] 金泰乙[1] 

机构地区：[1]大连大学附属中山医院泌尿外科,116001

出　　处：《当代医学》2010年第12期68-69,共2页Contemporary Medicine

摘　　要：目的探讨成人肾源性尿崩症所致巨输尿管-巨膀胱综合征的治疗方法。方法对1例肾源性尿崩症所致巨输尿管-巨膀胱综合征患者,施行可控性膀胱造瘘术,观察患者临床预后情况。结果术后控尿效果良好,随访1年,肾积水减轻,膀胱容量减小,肾功能正常,电解质检查正常,每日自行插管1～2小时1次,尿量500～700ml,膀胱造影显示膀胱容量较术前减小明显。结论可控膀胱造瘘术治疗成人肾源性尿崩症所致的巨输尿管-巨膀胱综合征,手术方法简单有效,可显著改善患者生活质量,有效地保护肾功能。Objective To discuss the treatment for megacystis-megaureter syndrome secondary to nephrogenic diabetes insipidus.Methods A patient with megacystis-megaureter syndrome secondary to nephrogenic diabetes inspidus was treated with continent cystostomy and observe patients clinic prognosis.Results The patient was followed up for 1 year,hydronephrosis was releaved,bladder capacity was diminished,renal function and electrolgtes were normal.The patient was catheterized for once every 1～2h and the urine volume was 500～700mL,cystography display that bladder volume was smaller than pre-operative.Conclusion Continent cystostomy might be an effective treatment for megacystis-megaureter syndrome secondary to nephrogentic diabetes insipidus.

关 键 词：巨输尿管-巨膀胱综合征 肾源性尿崩症 可控 膀胱造瘘术 

分 类 号：R699[医药卫生—泌尿科学]