去带乙状结肠膀胱扩大术治疗结核性膀胱挛缩11例报告  

The efficacy of augmentation cystoplasty with taenia myectomy sigmoid to treat small contracted tuberculous bladder(a report of 11cases)

作　　者：谢庆祥[1,2] 林吓聪[1,2] 赵力[1,2] 黄宏伟[1,2] 谢智明[1,2] 许伟杰[1,2] 

机构地区：[1]解放军第175医院 [2]厦门大学附属东南医院泌尿外科,福建漳州363000

出　　处：《现代泌尿外科杂志》2014年第2期83-85,共3页Journal of Modern Urology

摘　　要：目的评价去带乙状结肠膀胱扩大术治疗结核性膀胱挛缩的疗效和安全性。方法回顾性分析11例因结核性膀胱挛缩行去带乙状结肠膀胱扩大术的临床资料。结果手术均取得成功，手术时间缩短约1h，围手术期无死亡和严重并发症。术后1年每次尿量达200-372mL，无排尿困难和尿失禁；肾功能改善，电解质和酸碱平衡正常。结论去带乙状结肠膀胱扩大术治疗结核性膀胱挛缩效果满意，操作简便，安全性高，值得推广。Objective To evaluate the efficacy and safety of augmentation cystoplasty with taenia myectomy sigmoid for the treatment of small contracted tuberculous bladder. Methods The clinical data of 11 patients with contracted tuberculous bladder underwent augmentation cystoplasty with taenia myectomy sigmoid were retrospectively analyzed. Results All opera- tions were performed successfully,the operative time was shortened, and no death or severe complications occurred periopera- tively. The amount of urine was 200- 372 mL one year after operation, no dysuresia or incontinence were found, and electrolyte and metabolic acid-base balance returned normal. Gonclusion The augmentation cystoplasty with taenia myectomy sigmoid to treat contracted tuberculous bladder is simple,safe ,effective, and worthy of wide application.

关 键 词：肾结核 膀胱挛缩 乙状结肠 膀胱扩大术 

分 类 号：R699.5[医药卫生—泌尿科学]