临床小儿外科杂志2016，Vol.15Issue(4)：371-373,378,4.DOI:10.3969/j.issn.1671-6353.2016.04.018
膀胱自体扩大术在神经性膀胱患儿中的应用评价
Clinical evaluations of bladder autoaugmentation in children with neurogenic bladder dysfunction
孙小兵 1李殿国 2罗添华 1孙小刚 2吕利利1
作者信息
- 1. 山西省儿童医院 山西省太原市，030013
- 2. 山东大学第二医院 山东省济南市，250033
- 折叠
摘要
Abstract
Objetive To evaluate the outcomes of bladder autoaugmentation in children with neurogenic bladder dysfunction. Methods Six children with myelomeningocele were recruited.There were 3 boys and 3 girls with an age range of 18 months to 9 years.All children underwent bladder autoaugmentation after solifena-cin and clean intermittent catheterization for 3 months.Vesicourethrography (VCUG),ultrasonography and urodynamics were evaluated before and 1 year post-operation.All patients received postoperative clean intermit-tent catheterization.Bladder volume,compliance and detrusor pressure during filling were recorded. Results Preoperative urodynamics indicated that bladder volume and compliance decreased while detrusor pressure in-creased.Bladder volumes of 5 children were lower than 50% of their expected volumes.VCUG indicated thatⅣ°vesicourethral reflux (VUR)existed in 4 children (left,n =1 ∶right,n =1;bilateral,n =2).There was no onset of infection or perforation.At 1 year,bladder volume increased slightly while the rate of bladder vol-ume to expected volume,compliancce and detrusor pressure had no difference.And VUR showed no relief in 4 children. Conclusions Bladder autoaugmentation fails to increase bladder volume and compliance and de-crease detrusor for children with neurogenic bladder of markedly decreased volume.The clinical outcomes are poor.关键词
脊髓脊膜膨出/神经性膀胱/儿童Key words
Meningomyelocele/Neurogenic Bladder/Child引用本文复制引用
孙小兵,李殿国,罗添华,孙小刚,吕利利..膀胱自体扩大术在神经性膀胱患儿中的应用评价[J].临床小儿外科杂志,2016,15(4):371-373,378,4.
