腹腔镜下回肠膀胱扩大术治疗低顺应性膀胱的初步临床结果

腹腔镜下回肠膀胱扩大术治疗低顺应性膀胱的初步临床结

果

祁小龙;徐智慧;刘锋;张大宏

【期刊名称】《中华外科杂志》 【年(卷),期】2015(053)008

【摘要】Objective To study the effectiveness and safety of the laparoscopic ileal bladder augmentation treatment for low compliance bladder.Methods A retrospective analysis was performed based on 36 cases admitted to the Zhejiang Provincial People's Hospital with highly reflective and low compliance bladder accepted laparoscopic ileal bladder augmentation surgical treatment from June 2011 to December 2013.In accordance with inclusion and exclusion criteria,22 patients were enrolled in this study,including 13 males,9 females who aged from 22 to 62 years with an average of 35.8 years.Among the selected sample,there were 15 cases of spinal cord injury,4 cases of spinal cord dysplasia,and 3 cases of urinary tuberculosis.The duration of disease varied from 1 to 15 years,with an average of 8.5 years.For surgery,intraoperative

and

perioperative

complications

were

observed,and preoperative serum creatinine in patients with postoperative at 3,6,12,18,24,36 months,hydronephrosis,and glomerular filtration rate urodynamic parameters were used for univariate analysis of variance.Results All patients were successfully completed in