摘要
目的 根据尿流动力学检查结果 ,探讨神经原性膀胱的外科治疗方法。方法 110例神经原性膀胱患儿术前均行尿流动力学检查 (测定逼尿肌反射情况、膀胱容量、漏点压、最大尿道压和最大尿道闭合压等 ) ,根据检查结果 ,采用不同外科治疗方法 (盆底肌加强、膀胱颈悬吊、膀胱扩大术和逼尿肌加强术 )。结果 110例中获随访 92例 ,平均随访 2年 ,尿流动力学检查各项指标明显好转。结论 手术治疗神经原性膀胱 ,应根据患儿的不同情况制定相应的治疗方案 ,才能取得满意效果。
Objective Different surgical procedures were selected by results of urodynamic study in children with neurogenical bladder(NB) Methods According to results of urodynamic study, 110 cases with neurogenical bladder (NB)who underwent pelvic floor strengthening and operation of bladder (bladder neck suspension, bladder augmentation, bladder wrapped in seromusculare segment and anti reflux procedure)were analyzed retrospectively Results 92 out of 110 cases were followed up for 4 months～5 years(mean time 2 years) Results of urodynamic study were improved obviously Conclusions According to carefully evaluation, selective corrective surgical procedures in NB are very important
出处
《山东医药》
CAS
北大核心
2003年第21期9-10,共2页
Shandong Medical Journal
