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頁籤選單縮合
題名 | 以迴腸膀胱擴大整形術治療神經性因攣縮膀胱 |
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作者 | 郭漢崇; 許悌; 張世忠; | 書刊名 | 慈濟醫學 |
卷期 | 4:1 1992.03[民81.03] |
頁次 | 頁13-18 |
分類號 | 416.274 |
關鍵詞 | 因攣縮; 治療; 神經性; 迴腸; 膀胱; 整形術; 擴大; |
語文 | 中文(Chinese) |
中文摘要 | 自1989年至1991年,我們為5位神經性因膀胱障礙的病人進行迴腸膀胱 擴大整形術以解決其尿失禁及兩側腎水腫。追蹤時間1至3年,病人的膀胱最大容 量由平均150±70ml(50-250 ml)增加到570±45ml(500-600 ml)(p<0.05):而膀胱最大 容量之內壓也由64±20cm H�烙(40-80 cm H�烙)降低至14.6±5.5 cmH�烙(8-20 cm H�烙)(p<0.05)。四位手術前有兩側腎及輸尿管水腫的病人在手術後半年均恢復正 常,而4位手術前有滿溢性尿失禁的病人在術後也都有明顯的改善。病人在術後 可以自行排尿,但需要輔以間歇性自行導尿,所有病人都自覺生活品質改善,滿 意手術結果。我們認為以迴腸進行膀胱擴大整形術對於低適應性攣縮膀胱是一項 效果良好,值得推廣的手術。(慈濟醫學1992;4:13-18) |
英文摘要 | From 1989 to 1991, 5 patients with neuropathic bladder dysfunction were operated on by ileal augmentationcystoplasty in order to solve their urinary incontinence and bilateral hydronephrosis. The follow-up periodswere 1 to 3 years. The maximal bladder capacity increased from 150±70 ml to 570±45 ml (p<0.05), and theintravesical pressure decreased from 64±20 cm H,0 to 14.6±5.5 cm H�烙 (p<0.05). Four patients with bilateralhydronephrosis preoperatively had their upper tracts returned to normal by 6 months after surgeries, and 4patients with overflow incontinence preoperatively regained their continence after surgeries. Three patients haveto expell their urine by intermittent self catheterization while the other 2 are able to urinate by abdominalstraining with adjunctive self catheterization once daily. All of the patients admit that the quality of life isimproved and are satisfied with the surgical results. We conclude that augmentation cystoplasty by a segment of detubulized ileum is an effective surgery in thetreatment of neuropathic contracted bladder. (Tz'n-Chi Med J 1992; 4: 13-18) |
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