摘要
目的:作者报道了5例接受可控性尿流改道术的横纹肌肉瘤病例,这项外科技术由作者根据Mitrofanoff原理设计发明。方法:2例先前放疗过的横纹肌肉瘤患者表现出了残留膀胱疾病及严重的敏感性尿急。
Purpose The authors present here 5 cases of continent urinary diversion in rhabdomyosarcoma applying a recently described technique for the Mitrofanoff Principle devised by the authors. Methods Two previously irradiated rhabdomyosarcoma patients presenting with residual bladder disease and massive sensitive urinary urgency underwent a transverse colonic reservoir with catheterizable stoma. Two other patients presenting with a Bricker conduit underwent conversion into an ileal reservoir. One patient underwent reconstruction after a cystectomy. Results All patients were continent and able to perform continent intermittent catheter-ization. Conclusions The technique proved to be feasible for this group of patients. The authors believe that because of its simplicity, it should be an option of continent urinary diversion when the Mitrofanoff Principle is considered.
