乙状结肠膀胱扩大术治疗神经源性急迫性尿失禁的临床研究  

Sigmoid Colon Enterocystoplasty for Urge Incontinence of Neurogenic Bladder:16 Cases Report

作　　者：黄邦高[1] 徐智慧[1] 王彦彬[1] 诸靖宇[1] 倪庆节[1] 周鹏[1] 宋晨[1] 

机构地区：[1]杭州市第三人民医院泌尿外科,浙江杭州市310009

出　　处：《中国康复理论与实践》2011年第5期465-466,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨乙状结肠膀胱扩大术治疗顽固性神经源性急迫性尿失禁伴便秘的疗效。方法 16例患者经尿动力学检查为急迫性尿失禁,且术前均未发现肾积水和膀胱输尿管返流,行乙状结肠膀胱扩大术。结果术后随访3～24个月,均未见肾积水、膀胱输尿管返流和生化异常,便秘症状明显好转。所有患者能利用腹压辅助自行排尿及基本控尿,残余尿量10～40ml。结论乙状结肠膀胱扩大术治疗神经源性急迫性尿失禁能增加膀胱容量,降低膀胱压力,实现自主排尿;还能缓解便秘。Objective To observe the effect of sigmoid colon enterocystoplasty on urge incontinence of neurogenic bladder.Methods 16 patients with urge incontinence without bladder-ureter reflux or hydronephrosis accepted the sigmoid colon enterocystoplasty.They were followed up for 3~24 months.Results No bladder-ureter reflux and hydronephrosis was found.The biochemical parameters were stable.Constipation relieved.All the patients could urinate with abdominal pressure and no urge incontinence happened.The residual urine volume was 10~40 ml.Conclusion Sigmoid colon enterocystoplasty is effective on urge incontinence of neurogenic bladder,as well as on constipation.

关 键 词：乙状结肠膀胱扩大术 急迫性尿失禁 便秘 

分 类 号：R694[医药卫生—泌尿科学]