查詢結果分析
來源資料
相關文獻
- The Urodynamic Characteristics in Various Bladder Reconstructions with a Detubularized Ileal Segment
- Tanagho's Procedure for Total Urinary Incontinence--A Case Report
- 以尿路動力學觀點診斷膀胱頸功能異常及用內視鏡切除手術和藥物治療之比較
- 一位接受人工新膀胱手術病患膀胱功能重建的護理經驗
- 尿路動力學簡介
- Abnormal Clinical and Urodynamic Findings in Women with Severe Genitourinary Prolapse
- Urodynamic Evaluation of Voiding Dysfunction in Diabetic Patients
- Effects of Tolterodine on Lower Urinary Tract Symptoms and Voiding Efficiency in Taiwanese Patients with an Overactive Bladder
- Temporary Vesicostomy-Assisted Urethroplasty for Recurrent Obliterated Posterior Urethral Stricture
- Female Urethral Stricture--Two Cases Report and Literature Review
頁籤選單縮合
題名 | The Urodynamic Characteristics in Various Bladder Reconstructions with a Detubularized Ileal Segment=使用去管狀迴腸在不同膀胱重建之尿路動力學表癥 |
---|---|
作者姓名(中文) | 郭漢崇; | 書刊名 | 慈濟醫學 |
卷期 | 5:3 1993.09[民82.09] |
頁次 | 頁153-162 |
分類號 | 416.274 |
關鍵詞 | 去管狀迴腸; 尿路動力學; 重建; 膀胱; |
語文 | 英文(English) |
中文摘要 | 使用去管狀迴腸進行膀胱重建手術已經是個很確定的方法以治療萎縮 性膀胱或膀胱全切除後之重建。雖然過去對於腸道膀胱擴大整型術 (enterocystoplasty)及人造膀胱(neobladder)的尿路動力學早已有許多報告,可是對於 使用同樣一段腸道來進行不同的膀胱重建手術卻很少有人去研究其不同的尿路 動力學變化。本研究共收集6例膀胱擴大整型術,11例寇克氏袋(Kockpouch),及7 例尿道人造膀胱(urethral neobladder)。三者膀胱重建均使用同樣40公分的末端迴 腸,總兩次摺疊後形成袋子的主體。 在手術後觀察其尿路動力學變化及臨床表現,我們發現在拔除導尿管後擴大整形 膀胱最快達到一個大容量,寇克氏袋次之,尿道人造膀胱第三。在膀胱可容性的 變大,以及蠕動壓力的降低方面,三者的順序一樣。然而,在拔除導尿管後六個 月所有的重建膀胱都達於穩定,在12個月時不論在膀胱容量或可容性,三組均無 顯著差異。而由臨床的觀察,我們發現膀胱外的阻力應是造成其生理發展上快慢 差別的主要原因。在病理變化上也讓實人造膀胱壁具有機械性阻塞後之肥厚及變 性特徵。 我們的結論為:去管狀迴腸在進行膀胱重建手術上是限理想的腸道選擇。不論是 進行何種重建手術,只要有一段40公分之迴腸作為主體,最後均可達到一個低壓 力高容量(500-600毫升)的新膀胱。(慈濟醫學 1993:5:153-162) |
英文摘要 | Bladder reconstruction using detubularized intestinal segment has been a well establishedprocedure. Although urodynamic changes in enterocystoplasty and neobladder have been widelyreported, there is little information with respect to the comparison among various methods ofbladder reconstruction. Herein we compared the physiological changes in three different bladderreconstructions including 6 augmentation cystoplasties, 11 Kock pouches, and 7 urethral neobladders constructed by a detubularized terminal Heal segment of the same length. The augmentation cystoplasties had the largest bladder capacity soon after removal of thecatheter, Kock pouches ranked second, and urethral neobladders the last. The order was the samein the increase of bladder compliance and the decrease of peristaltic pressure. However, all bladder reconstructions became stable within 6 months and the final bladder capacity and complianceshowed no significant difference in the 12 month follow-up. Bladder outlet resistance is believedto play the most important role in their physiological development. We conclude that the detubularized terminal ileum is an ideal bowel segment for any kind ofbladder reconstructions. For a segment of 40 cm ileum, a final capacity of 500 to 600 ml can beachieved as long as the outlet resistance is adequate. (Tz'u-Chi Med J 1993; 5: 153-162) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。